VHL with presumed hemangioblastomas. There is a subcentimeter enhancing lesion in the left superior cerebellar hemisphere. There is no evidence of enhancing mass lesions within the spine. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There are postoperative findings related to C5-6 anterior fusion, with possible narrowing of the right neural foramen due to uncovertebral hypertrophy, although assessment is limited by the metal artifact. There is no evidence of significant spinal canal or neural foraminal stenosis in the cervical spine. Aside from the postoperative findings in the cervical spine and a few scattered areas of focal fat, the vertebral bone marrow signal is unremarkable. There are prominent areas of ligamentum flavum thickening in the right upper thoracic spine and small posterior disc-osteophyte complexes in the mid thoracic spine, but no associated significant spinal canal stenosis. There is a small disc bulge at L4-5 with annular fissuring and a slight disc bulge at L3-4, but no significant spinal canal or neural foraminal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There is a subcentimeter left renal cyst and a partially imaged right renal lesion.
1. A subcentimeter enhancing lesion in the left superior cerebellar hemisphere is compatible with a hemangioblastoma in the setting of VHL syndrome. Please refer to the prior brain MRI for additional details.2. No evidence of hemangioblastomas in the spine.3. Postoperative findings related to C5-6 anterior fusion, with possible narrowing of the right neural foramen due to uncovertebral hypertrophy, although assessment is limited by the metal artifact.4. Mild degenerative spondylosis at multiple levels of the thoracic and lumbar spine without significant spinal canal stenosis.5. Subcentimeter left renal cyst and a partially imaged right renal lesion. Please refer to the prior body MRI for additional details.