 MRI BRAIN: There is a 4 mm diameter enhancing lesion in the inferior medial aspect of the left cerebellar tonsil. There are no additional areas of abnormal signal or pathological enhancement. There is no evidence of intracranial hemorrhage acute infarct. There are probable terminal zones of myelination in the bilateral parietal lobes. The supratentorial brain parenchyma otherwise appears unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is redemonstration of postoperative changes in the right globe, including silicone oil injection and scleral buckling.MRI CERVICAL SPINE: There is an expansile cystic intramedullary lesion in the left ventral aspect of the cervical spinal cord at the level of the C2 vertebral body, which measures up to 18 mm, previously 10 mm. There are two punctate nodular enhancing foci along the anterior aspect of the cyst, which appear unchanged and another punctate focus of enhancement along the posterior aspect of the left spinal cord at approximately the same level, which appears to be larger. In addition, there is mild edema is the spinal cord superior to the cyst. The cervical vertebral bodies are intact and there is no spondylolisthesis. The bone marrow signal is within normal limits. There are no significant degenerative changes are present. The vertebral artery flow voids appear to be intact. The paraspinous soft tissue structures appear within normal limits.
1. No significant interval change in the inferior medial enhancing cerebellar hemangioblastoma.2. Findings consistent with spinal cord hemangioblastomas at the C2 level with interval increase in size of the cystic component and posterior enhancing lesion, as well as mild edema in the surrounding spinal cord.3. Post-treatment findings in the right globe.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.