### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, i was wondering how often a Syrinx of the spine is often misdiagnosed. I was told by an orthopedic, neurologist and a neruosergon that I have a syrinx in my spine. When I moved at the beginning of this year I was getting looked at by my orthopedic here and after looking at my MRI he said he doesnt see one at all and that it happened that people are misdiagnosed. Its hard to know who is right because Im not a doctor. When I look at my MRI and look at images online of what I should see I cant see anything that looks like a Syrinx. Thoughts?

### output:

Hello dear,First, my reassurance for you. We, the doctors, treat the patients and not the MRIs. The very basic of a clinical practice is to correlate the clinical symptoms and signs of patients with investigations. In fact, in the older days, when there were no MRIs, patients used to be diagnosed accurately with precise clinical skills of the doctor. Investigations are meant just to supplement the clinical findings and not to replace the clinical history and examination of the patient. Coming on to spring in MRI-the appearance of spring is a linear slit like hyperintense signal in MRI spine, which is to be correlated for sure with the clinical findings of the patient like limb weakness, atrophy or thinning of the limb, fasciculations. In absence of these, or in a completely normal individual, I would rather say it has more chances to be some artifact, if at all is there. Many hyperintense signals in MRIs don't have any clinical relevance. Just to mention,30 percent of normal brain MRIs have hyperintense signals, that doesn't mean, we start treating every normal person for nothing he has got. One question-why were you visiting or tho surgeon? One tip for your reassurance-Please visit a neurologist and get examined yourself, if any problem. I hope it helped.