Clinical question: Evaluate for acute abnormality. Signs and symptoms: Worsening neck pain Enhanced cervical MRI:Precontrast portion of the exam was performed on 6-17-15 and patient was returned and the for post enhanced imaging.Examination demonstrates a well-demarcated round focus of hyperintensity/enhancement in the dorsal right lateral aspect of C5 vertebrae which demonstrated increased T1 and T2 signal intensity on the unenhanced series. Additional foci with similar signal changes on pre and post enhanced images are also present in the left lateral body of T6, vertebral body of T10. There is no evidence of bone marrow edema, fracture or malalignment with the findings. The lesions are highly suggestive of benign skeletal capillary hemangiomas however remote possibility of metastatic disease cannot be entirely excluded. There are no prior exams for comparison.Unremarkable post enhanced images of thoracic and cervical spine otherwise. There is also no detectable abnormal enhancement of the cord or the leptomeninges.There is no detectable abnormal enhancement of perispinal soft tissues.
1.Post enhanced images demonstrate multiple small foci of hyperintensity/enhancement within the vertebral bodies of C5, T6 and T10 corresponding with regions of T1 and T2 hyperintensity on nonenhanced images which are highly suggestive of multiple skeletal capillary hemangiomas of questionable clinical significance. Remote possibility of metastatic disease cannot be entirely excluded. There is no evidence of associated bone marrow edema, fracture or malalignment with the findings.2.There is no detectable abnormal enhancement of the cord, meninges or the perispinal soft tissues of the cervical or thoracic spine.