72 years Male (DOB:7/26/1944)Reason: Pt w/ solitary fibrous tumor of lower C spine/T1. Most recent s/p resection on 10/20/15. History: solitary fibrous tumorPROVIDER/ATTENDING NAME: RIMAS V. LUKAS RIMAS V. LUKAS The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine.The patient status post T1 corpectomy, C7-T2 anterior fusion as well as C6-T1 laminoplasty. The patient status post posterior fossa surgery. The vertebral body height is preserved. Multilevel fatty marrow replacement most prominent at C7-T2 is consistent with prior radiation. The spinal cord is of normal caliber and signal. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the cervical spine. There is an enhancing left C7-T1 paraspinal soft tissue lesion measuring 27 x 35 mm in axial dimensions which measured the same on the prior exam.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.Some opacities are present in the mastoid air cells were present to a lesser degree on the prior exam.
1.An enhancing left paraspinous mass involving the left C7-T1 neural foramen remains stable compared to the prior exam. The possibility that this represents recurrent neoplasm cannot be excluded.2.Status post cervical spine surgery with corpectomy,fusion and laminoplasty.