Male, 25 years old, with diagnosis of von Hippel-Lindau disease, history of spinal hemangioblastoma, evaluate for growth of pre-existing lesion and for any new brain/spine lesions. Brain:No evidence of parenchymal edema or mass effect is seen. No pathologic parenchymal or leptomeningeal enhancement is seen. There are no findings to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid. The ventricles are normal in size and morphology. Opacification of the left mastoid air cells is seen.Spine:A 6 mm enhancing nodule is present along the dorsal surface of the spinal cord at the T10 level. At the same level of the cord, there is a cystic cavity somewhat eccentrically located within the left aspect of the cord measuring up to 7 mm in diameter and up to 21 mm in craniocaudal length. Associated cord edema extends from T7 down to T11.No additional masslike lesions are seen anywhere along the spinal cord or cauda equina. No epidural abnormalities are suspected.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow enhancement is seen. No significant disc degeneration is noted. The spinal canal and neural foramina are patent.
1.An enhancing nodule is evident along the dorsal surface of the spinal cord at the T10 level with an associated intramedullary cyst. Findings are compatible with a hemangioblastoma. Edema arising from this lesion extends up to T7 and down to T11.2.No additional hemangioblastomas are suspected within the spine.3.No lesions are seen intracranially to suggest additional hemangioblastomas. Evaluation of the brain is within normal limits.