Female, 63 years old, with meningioma, follow-up exam. A 10 x 8 mm enhancing extra-axial lesion is evident along the right lateral aspect of the spinal canal at the C1 level. This lesion effaces the CSF space, contacting and deforming the adjacent spinal cord. On comparison with the prior noncontrast C-spine MRI this lesion has probably not changed significantly in size.No other extra-axial or intra-axial lesions are appreciated. Brain parenchymal morphology is within normal limits. No evidence of concerning signal abnormally, edema or mass effect is detected. No abnormal extra-axial fluid or intracranial hemorrhage is observed. The ventricular system is normal in size and morphology.
1.A 10 x 8 mm extra-axial enhancing lesion is seen within the right lateral spinal canal at the C1 level compatible with the stated history of meningioma. This lesion impinges on the adjacent spinal cord. No significant interval change is suspected when compared to a prior examination from August 2015.2.The remainder of the examination is within normal limits. No additional intra-axial or extra-axial lesions are appreciated.