52 yo female with C2 cavernoma. Right lower extremity numbness. Focus of increased T2 signal with hemosiderin rim in the ventral left cervical cord at the C2 level measures 5 x 6 x 8 mm and not appreciably changed allowing for differences in measurement technique. T2 hypointensity is again noted to extend inferiorly down to the C3-C4 level in the left ventral aspect of the cord. T1 hyperintensity as well as mild enhancement are also unchanged.Cervical spine alignment is anatomic. Vertebral body heights are normal. Mild multilevel degenerative changes are again seen with central disk protrusion at the C3-C4 level with mild associated flattening of the ventral cord similar to prior. No associated cord signal abnormality. There is mild to moderate left neural foramina stenosis on the left at C3-C4 related to facet arthropathy and uncovertebral hypertrophy. Mild disc bulge at C6-7 also unchanged without significant spinal canal or neural foraminal stenosis. T1 hyperintense focus at the T2 vertebral body compatible with hemangioma.
1. No appreciable change in left ventral C2 cavernous malformation across multiple prior studies dating back to 6/29/2012.2. Mild multilevel degenerative changes including central disc protrusion at C3-4 with mild spinal canal stenosis and mild to moderate left neural foraminal stenosis is also not significantly changed.