Male, 16 years old, with von Hippel-Lindau and spinal cord lesions on MRI. A 2 mm focus of enhancement is seen along the dorsal aspect of the spinal cord at the T7-8 level. This lesion does not appear to have changed significantly when compared to the examination of 11/24/15. There may also be a punctate focus of enhancement along the left dorsal cord at the T1 level, though this could be artifactual and was not evident on the prior examination.A prior examination is not available for the lumbar spine. However, no pathologic enhancement is seen along the conus or cauda equina. No epidural abnormalities are suspected anywhere along the thoracolumbar spine.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits allowing for scattered Schmorl's node deformities. No evidence of pathologic marrow replacement, edema or enhancement is seen. No significant compromise of the spinal canal or neural foramina is demonstrated.
1.A small focus of enhancement along the dorsal cord at the T7-8 level is unchanged and likely represents a small hemangioblastoma.2.A questionable focus of enhancement along the left dorsal cord at the T1 level is seen which could be artifactual or which could represent an additional small hemangioblastoma. This lesion was not identified on the prior examination, though differences in technique may account for this.3.No lesions suspicious for hemangioblastoma are seen in the lumbar region.