[Sallydj]

Hello, I am a 31 yr old female with back pain that at time radiates to the right side abdominal, and down leg. The pain is much worse at night while trying to lie down..When I move my neck/head downward I get horrible pain in the middle of back, when this happens my abdominal and chest (right side) tense up like a spasm. This is my MRI results. My GP did not explain much of this and is sending me to a neurosurgeon. My question is can you help me intemperate the results and tell my why he is sending me to a neurosurgeon. My appt with surgeon is not for several weeks and I would appreciate any info thanks!


Vertebral body: normal height with no evidence of compression fracture. Within the posterior aspect of the T8 vertebral body. There is a focal lesion of increased T2 and decreased T1 signal which shows homogeneous enhancement following contrast. The lesion measures 15 x 8 mm. Tiny extensions of the lesion extending toward the pedicles, and there is slight flattening of the posterior cortex with thin enhancement of the overlying epidural space. No lesion was seen on prior CT.

There is a begin hemangioma in the T9 vertebral body. Degenerative endplate changes are noted T6 through T12

Intervertebral disc: There is a small right paracentral protrusion at the T7-T8 resulting mild effacement of the right aspect of the thecal sac. No significant foramina narrowing. Probable perineural cyst on the right T11-T12 which contacts the exiting nerve root at this level.

Impression:
1. Nonspecific T8 vertebral body lesion as described above. This may represent an atypical hemangioma, thought other neoplasms cannot excluded. Dedicated nuclear bone scan is recommended.

2.finding compatible with typical begin hemangioma in the T9

3. Small disc protrusion at the T7-T8 with no significant central canal or foramina narrowing

4. Perinural cyst in the right T11-T12 neural foramen as above.