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Examination

MR Cervical Spine without contrast  

 

Clinical History

[ ]  

 

Technique

Long and Short axis T1W and T2WFS MR of the cervical spine was performed. 

 

Comparison

[ ] 

 

Findings

 

Alignment:

Normal

 

Vertebral Body Heights:

Maintained

 

Disc Volumes:
Maintained


Marrow Signal Abnormality:
Negative

 

STIR / Fluid Signal Abnormality:

Negative


Spinal Cord:
Unremarkable in appearance.

 

Motion Segments / Disc Levels:

C2-C3: No disc herniation, canal or neural foraminal stenosis.  

C3-C4: No disc herniation, canal or neural foraminal stenosis.  

C4-C5: No disc herniation, canal or neural foraminal stenosis

C5-C6: No disc herniation, canal or neural foraminal stenosis.

C6-C7: No disc herniation, canal or neural foraminal stenosis. 

C7-T1: No disc herniation, canal or neural foraminal stenosis. 

 

Paravertebral Tissues:
Unremarkable.

 

Extraspinal tissues:
Unremarkable.  


Visualized Posterior Fossa Structures:
Unremarkable.

 

Impression

Unremarkable examination.

 

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Examination

MR Thoracic Spine without contrast  

 

Clinical History

[ ]  

 

Technique

Long and Short axis T1W and T2WFS MR of the thoracic spine was performed. 

 

Comparison

[ ] 

 

Findings

 

Alignment:

Normal

 

Vertebral Body Heights:

Maintained

 

Disc Volumes:
Maintained


Marrow Signal Abnormality (Marrow replacement):
Negative

 

STIR / Fluid Signal Abnormality:

Negative


Spinal Cord:
Unremarkable in appearance.

 

Paravertebral Tissues:
Unremarkable.

 

Extraspinal tissues:
Unremarkable.  

 

Impression

Unremarkable examination.

 

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MR Lumbar Spine without contrast

 

Clinical History:  

[ ]

Technique:  

Multi sequence sagittal and axial MR images of the lumbar spine were obtained. 

Comparison: 

[No images available for comparison.]

Findings:


Numbering:  

There are five non-rib bearing lumbar type vertebrae.  For the purposes of this study, the first well-formed vertebral body at the lower aspect of the images is denoted the L5 level.

 

Alignment:
Normal

 

Vertebral Body Heights:

Maintained

 

Disc Volumes:
Maintained


Marrow Signal Abnormality:
Negative

 

STIR / Fluid Signal Abnormality:

Negative

 

Lower Spinal Cord and Conus Medullaris:

Unremarkable appearance.
Conus terminates at the [T12-L1] level, which is normal.


Cauda Equina: 

No clumping or other abnormality.


Motion Segments:

 

L1-L2:

Disc Disease:  Negative

Spinal Canal Stenosis:  Negative

Neural Canal Stenosis:  Negative


Associated Findings:

Facet Arthropathy:  Negative

Ligamentum Flavum Thickening:  Negative

 

L2-L3

Disc Disease:  Negative

Spinal Canal Stenosis:  Negative

Neural Canal Stenosis:  Negative


Associated Findings:

Facet Arthropathy:  Negative

Ligamentum Flavum Thickening:  Negative

 

L3-L4

Disc Disease:  Negative

Spinal Canal Stenosis:  Negative

Neural Canal Stenosis:  Negative


Associated Findings:

Facet Arthropathy:  Negative

Ligamentum Flavum Thickening:  Negative

 

L4-L5

Disc Disease:  Negative

Spinal Canal Stenosis:  Negative

Neural Canal Stenosis:  Negative


Associated Findings:

Facet Arthropathy:  Negative

Ligamentum Flavum Thickening:  Negative

 

L5-S1

Disc Disease:  Negative

Spinal Canal Stenosis:  Negative

Neural Canal Stenosis:  Negative


Associated Findings:

Facet Arthropathy:  Negative

Ligamentum Flavum Thickening:  Negative

 

Paraspinal Findings:  

None.


Extraspinal Findings:

None.

 

Impression:
Unremarkable MR of the Lumbar Spine.

CT Cervical Spine TRAUMA

 

Examination

CT Cervical Spine without contrast  

 

Clinical History

[Trauma and C-spine tenderness]  

 

Technique

Thin section multiplanar CT of the cervical spine. 

 

Comparison

[ ] 

 

Findings

 

Alignment:

No listhesis

 

Vertebral Body Heights:

Maintained


Fracture:

Negative

 

Spinal Canal:

No hemorrhage.

Degenerative Changes:
None significant.


Spinal Stenosis:
Negative

 

Extraspinal tissues:
Unremarkable.  

 

Impression

Negative for fracture or traumatic listhesis.

 

 

CT Cervical Spine OUTPATIENT

 

Examination

CT Cervical Spine without contrast  

 

Clinical History

[Cervical spine pain]  

 

Technique

Thin section multiplanar CT of the cervical spine. 

 

Comparison

[ ] 

 

Findings

 

Alignment:

Normal

 

Vertebral Body Heights:

Maintained

 

Disc Volumes:
Maintained


Spinal Cord:
Unremarkable in appearance.

 

Motion Segments / Disc Levels (Note that CT is suboptimal for assessment of the soft tissues):

C2-C3: No disc herniation, canal or neural foraminal stenosis.  

C3-C4: No disc herniation, canal or neural foraminal stenosis.  

C4-C5: No disc herniation, canal or neural foraminal stenosis

C5-C6: No disc herniation, canal or neural foraminal stenosis.

C6-C7: No disc herniation, canal or neural foraminal stenosis. 

C7-T1: No disc herniation, canal or neural foraminal stenosis. 

 

Paravertebral Tissues:
Unremarkable.

 

Extraspinal tissues:
Unremarkable.  

 

Impression

Unremarkable Examination.

 

 
CT Thoracic Spine TRAUMA

 

Examination

CT Thoracic Spine without contrast  

 

Clinical History

[Trauma and c/f thoracic spine fracture]  

 

Technique

Thin section multiplanar CT of the thoracic spine. 

 

Comparison

[ ] 

 

Findings

 

Alignment:

No listhesis

 

Vertebral Body Heights:

Maintained


Fracture:

Negative


Focal Aggressive Osteolytic or Osteoblastic Lesions:
Negative

 

Spinal Canal:

No hemorrhage.


Spinal Stenosis:
Negative

 

Extraspinal tissues:
Unremarkable.  

 

Impression

Negative for fracture or traumatic listhesis, thoracic spine.

 

 

CT Lumbar Spine TRAUMA

 

Clinical History:  

[Trauma]

Technique:  

Multiplanar thin section CT of the Lumbar Spine. 

Comparison: 

[No images available for comparison.]

Findings:


Numbering:  

There are five non-rib bearing lumbar type vertebrae.  For the purposes of this study, the first well-formed vertebral body at the lower aspect of the images is denoted the L5 level.

 

Alignment:
Normal

 

Vertebral Body Heights:

Maintained

 

Disc Volumes:
Maintained


Focal Aggressive Osseous Lesions:
Negative.

 
Spinal Canal:
Unremarkable CT appearance.  Note that MR is more sensitive for pathology in this location.

 

Paraspinal Findings:  

None.


Extraspinal Findings:

None.

 

Impression:
Negative for fracture or traumatic listhesis, lumbar spine.

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