Male, 16 years old, with cervical spinal tumor. Assess the rest of the spine. Extensive bulky and contiguous extramedullary tumor is partially visualized in the cervical region. Areas of tumor are found both within the spinal canal, the foramina, which are chronically widened, and beyond the foramen in the paraspinal soft tissues.Although the bulk of this disease is in the cervical region, it does extend down to the T1-2 level where there is tumor within the left aspect of the spinal canal and within the left T1-2 neural foramen.No evidence of any additional canalicular or foraminal tumor is seen in the thoracic or lumbar spine. In these areas, there is no evidence of significant spinal canal or neuroforaminal stenosis. The intervertebral disks are preserved.Spinal cord, conus and cauda equina demonstrate normal signal intensity and morphology. No pathologic cord signal or enhancement can be detected.It should be noted that the partially visualized cervical spine vertebral bodies, and the T1 vertebral body, demonstrate abnormal T1 hypointense and T2 hyperintense signal with equivocal enhancement. Elsewhere in the thoracic and lumbar spine, vertebral body signal and pattern of enhancement are unremarkable.
1. Redemonstration of bulky, contiguous extra medullary tumor involving the left aspect of the spinal canal, the left neural foramina, and the left paraspinal soft tissues with disease centered predominantly in the cervical spine. Please note that the cervical spine is only partially viewed on this study.2. Disease extends as far down as the T1-2 level where there is evidence of tumor in the left aspect of the spinal canal and left neural foramen. Below this level, no additional areas of tumor are suspected in the thoracic or lumbar spine.3. Abnormal marrow signal intensity involving the cervical and T1 vertebral bodies is of uncertain significance. Findings could represent reactive edema or bony disease involvement.