 HeadNote that only post contrast sequences were obtained. This is in comparison to MRI brain without contrast study on 6/21/2015. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or enhancement. There is no diffusion abnormality. No extra-axial fluid collection is identified. Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. Cervical spine: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.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.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. Along the posterior aspect of the T7 vertebral body on the right there is a discrete lesion measuring 11 mm x 9 mm and demonstrates low signal intensity on T1 and heterogeneous signal intensity on STIR sequences with suggestion of mild enhancement (series 1201, image 9). Otherwise there are no additional abnormal enhancing lesions are identified in the thoracic spine.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.No abnormal enhancing lesions are identified in the lumbar spine.At L5-S1 there is disc dessication with a linear focus of increased signal on STIR/T2 sequences within the disk posterolaterally to the left which could represent a form of disk degeneration. There is mild disc bulge, minimal facet hypertrophy and ligamentum flavum hypertrophy with no significant compromise to the spinal canal or neural foramina.At L4-5 there is disc dessication with a linear focus of increased signal on STIR/T2 sequences within the disk posterolaterally to the right which could represent a form of disk degeneration. There is mild disc bulge, minimal facet hypertrophy and ligamentum flavum hypertrophy with no significant compromise to the spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.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 right renal cyst.
1. Mildly enhancing discrete lesion within T7 vertebral body is nonspecific and follow-up with CT to further characterize the lesion would be useful. Alternatively, follow-up with MRI to ensure stability or resolution can be considered as well.2. No evidence of leptomeningeal disease as clinically questioned. 3. Mild degenerative changes affect the lumbosacral spine with no compromise of the spinal cord or neural foramina. 