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HISTORY: 46 year old female with a history of vascular myelopathy presenting with new right arm tingling, sensory changes/worsening myelopathy.
EXAM: MRA SPINE W/ AND WO CONTRAST, MRI COMPLETE SPINE W/WO CONTRAST, MRI BRAIN STROKE WO CONTRAST AND MRA
COMPARISON: Prior brain 6/27/2020
TECHNIQUE: Multiplanar multisequence MRI and MRA of the spine with contrast was performed. 8 cc of intravenous Gadavist was used.
Cord atrophy at C5-7 and the area of the previously seen myelopathy.
Increased signal on diffusion weighted imaging within the the myelopathic segment in the right lateral aspect of the cord with associated heterogeneous enhancement extending from C5-C7 (series 15 image 11, series 32 image 12).
Decreased patchy T2 hyperintensity in the dorsal columns the C2-3 level and in the left lateral spinal cord at C4.
T5 vertebral body hemangioma.
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Content reviewed: May 12, 2022