 There is a T2 hyperintense focus involving the right pedicle and immediately adjacent osseous structures of C6. This demonstrates minimal T1 hyperintensity, persistent T2 hyperintensity with STIR technique, and enhancement. This is not associated with medullary expansion or MRI evident cortical erosion. There is no adjacent soft tissue component. There is a similar-appearing focus within the left posterolateral vertebral body of C7.Alignment is normal. The marrow signal is benign. The cervical and upper thoracic cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable. There is no significant degenerative disease, and there are no stenoses.
1.There is a T2 hyperintense focus involving the right pedicle and immediately adjacent osseous structures of C6. This demonstrates minimal T1 hyperintensity, persistent T2 hyperintensity with STIR technique, and enhancement. This is not associated with medullary expansion or MRI evident cortical erosion. There is no adjacent soft tissue component. There is a similar-appearing focus within the left posterolateral vertebral body of C7. The constellation of these MRI features is most suggestive of the atypical appearance of a benign hemangioma. This could be confirmed with CT.2.Otherwise negative contrast enhanced cervical spine MRI.