This radiologist gets high marks from me. After all the lumbar and one prior T spine this person hit the nail on the head! Thanks
Dictated by: YOSHINO, MARK MD
Dictated DT/TM: 12/12/2021 11:44 am MST
Signed by: YOSHINO, MARK MD
Signed (Electronic Signature): 12 / 12/2021 11:48 am MST
Exam Date Time Procedure Performing Provider Status
12/11/21 7:02 PM MRI Spine Thoracic Twitchell, ShaylaMri Auth (Verified)
WWO Techno;
Notes:
(MRI Spine ThoracicWWO) Reason For Exam: EpiduralAbscess;Pain, lumbar
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EXAM: MRI thoracic spine, unenhanced and gadolinium-enhanced
DATE:17:37 hours, 12/12/2021
HISTORY: Back pain. Difficulty walking.
FINDINGS: No prior thoracic spine studies here for comparison purposes. No marrow replacement, endplate destruction or marrow edema identified.. No abnormal area of enhancement identified. No disc herniation, spinal or foraminal stenosis seen. No cord enlargement or syrinx. There is compression the dorsal surface of the spinal cord at the T5-6 level by CSF signal intensity mass in the midline. This measures 9 x 14 mm in transverse dimensions. The mass extends inferiorly to approximately the TB level, this being equivocal due to artifact from CSF motion. No enhancement of the wall the mass, mural nodule or fluid fluid level identified. Dr. Turecki sent a preliminary report of findings to emergency room before patient was discharged.
IMPRESSION:
1. CSF signal intensity mass posterior to the spinal cord at the T5-6 level. This compresses the cord. It is nonspecific in appearance. Elements differential diagnosis include an arachnoid, or other cyst and much less likely cystic neoplasm.
2. Thoracic CT myelography should be considered for further evaluation.
***** Final *****
Dictated by: YOSHINO, MARK MD
Dictated DT/TM: 12/12/2021 11:48 am MST
Signed by: YOSHINO, MARK MD
Signed (Electronic Signature): 12/12/202 1 11:58 am MST