Clinical question: History of cervical schwannoma, evaluate for recurrence. Signs and symptoms: Yearly follow-up. Pre and post enhanced cervical MRI: Examination redemonstrates a well-demarcated mass within the left neural foraminal C2-C3 level demonstrating mixed T2 hyperintense signal intensity and with enhancement. Finding results in mild expansion of the left neural foramina similar to prior exam. The finding measures approximately 8.2 x 14 mm which is not significantly different when compared with prior study which measured at 9 x 15 mm.Similar to prior exam there is extensive degenerative changes of cervical spine without appreciable significant interval progression. Mild central spinal stenosis secondary to degenerative disease at C3-C4 is noted. Moderate central spinal stenosis at C4-C5 and C5-C6 are again noted without significant change. Also similar to prior exam there are multilevel neural foraminal compromise (some significantly) without significant change since prior study.The signal intensity and caliber of the cervical and upper most visualized thoracic cord to T4 level is within normal and without detectable abnormal enhancement.
1.Stable size of a left C2-C3 neural foraminal schwannoma since prior exam.2.Stable extensive degenerative changes of cervical spine with multilevel mild-to-moderate central spinal stenosis C3-C4 through C5-C6 levels.3.Stable multilevel neural foraminal compromise (some significantly) since prior study.