Demographics:
30 years old, Female
Indication:
Neck pain
Findings
- 1.2 cm intramedullary expansile mass located dorsally at the cervicomedullary junction with heterogeneous internal T1/T2 signal, a peripheral T2/STIR signal hypointensity, and faint internal enhancement
- Otherwise normal spinal cord signal and contour
- Normal marrow signal
- Normal alignment
- No significant degenerative changes
- T2/STIR hyperintense multilobulated polypoid lesion along the posterior wall of the nasopharynx
Diagnosis
Spinal cavernoma
Sample Report
1.2 cm intramedullary expansile mass located dorsally at the cervicomedullary junction with heterogeneous internal T1/T2 signal, a peripheral T2/STIR signal hypointensity, and faint internal enhancement. This appearance is most suggestive of a cavernoma. Consider brain MRI with and without contrast to assess for additional lesions.
Otherwise normal spinal cord signal and contour.
No acute findings in the cervical spine or significant degenerative changes.
T2/STIR hyperintense multilobulated polypoid lesion along the posterior wall of the nasopharynx, which should be amenable to direct visual inspection. Recommend ENT referral for further evaluation.
Discussion