80 years Female (DOB:10/7/1935)Reason: hx of cirrhosis of liver. Thoracic lesion seen on Liver MRI. Eval dedicated spine imaging for lesion History: none- surveillance PROVIDER/ATTENDING NAME: EDWIN RAMOS EDWIN RAMOS MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. Adjacent to the left T10 vertebral body and overlying the left T10-T11 neural foramen there is a 12 x 17 mm axial dimension mass. Lesions within the neural foramina of T10-T11 bilaterally and the right side at T9-T10 neural foramen as well as the right neural foramen of T8-T9 are present which are bright on STIR T2 imaging, do not enhance following contrast administration and are dark signal on T1 imaging. This implies that they are cystic in nature. Most likely representing perineural cysts.There are multiple lesions which are bright signal on T2 and T1 imaging measuring up to 14 mm in diameter located at T11, T9 and T8. These suppress on inversion recovery and fat suppressed imaging. Most likely this represents a hemangioma.There are degenerative changes in the visualized portions cervical spine worse at C5-6 where there is some narrowing of the spinal canalLumbar spine:Five lumbar type vertebral bodies are presumed to be present The conus medullaris on sagittal imaging is grossly intact.There is a compression fracture present at L1 with approximately 40% loss of vertebral body height. There is mild retropulsion. The L1 vertebral body is bright on T1 it has a Schmorl's node superiorly. Most likely this represents a benign compression fracture.No abnormal enhancing lesions are appreciated in the lumbar spine.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is mild anterior subluxation of L5 on S1 associated with bilateral pars interarticularis defects. There is elongation of the AP dimension of the spinal canal. There is mild narrowing of the neural foramina at this level, associated with partial effacement of the fat surrounding the exiting nerve roots.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge and disc desiccation at this level as well as loss of disc space height and mild facet hypertrophy.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge and disc desiccation at this level as well as loss of disc space height and mild facet hypertrophy.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a cystic lesion along the left kidney which was also present on the prior liver MRI. It measures 18 x 12 mm axial dimensions. It has not substantially changed
1.There is a left paraspinous mass present adjacent to the T10 vertebral body overlying the left T10-T11 neural foramen. It was also present on the liver MRI exam from 10/6/2015. Given its location differential considerations include nerve sheath tumor. Follow-up exams would help confirm this.2.There is a compression fracture present at L1 which has a benign appearance.3.There are spondylolysis with spondylolisthesis grade one at L5-S1. There is mild encroachment of the exiting nerve roots within the neural foramen at this level.4.There are some degenerative changes present in the lumbar spine without significant compromise to the spinal canal or exiting nerve roots.