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Doesn’t Lesions Mean Tumors?

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Posted on Thu, 22 Aug 2024
Question: Hi I recently went in for an mri of brain and neck due to migraines, neck pain, numbness/weakness in face and arms that come’s and go’s. My brain mri came back normal with no findings but my neck mri came back stating that I have 3 bulging discs and they put this on the report that I don’t understand. “At C3-4, patchy binocular cord lesions are revealed in the general location of the anterior columns on the T2* axial sequence only (see image #8). Key considerations include artifact, cord infarction, and subacute combined degeneration (which admittedly usually hits the posterior columns). Consider restudy using diffusion weighted imaging and possibly even IV contrast in 1 or 2 weeks.” Doesn’t lesions mean tumors? Do they think I might have cancer. My mind is all over the place and would just like a better explanation. Thank you!
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Answered by Dr. Dr. Erion Spaho (8 hours later)
Brief Answer:
MRI findings not typical for tumor.

Detailed Answer:
Hello,


I have read your question about the MRI findings and interpretation.

In my opinion, these MRI findings are not indicative of any tumor.

These may be linked to any impairment of oxygen supply or myelitis (an autoimmune-like condition after a viral infection for example).

I agree with the radiologist's recommendations for restudying with a contrast-enhanced MRI.

Discuss with your Doctor these issues.

Feel free to ask if you have further questions.

Take care.
Above answer was peer-reviewed by : Dr. LAKSHMI
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4502 Questions

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Doesn’t Lesions Mean Tumors?

Brief Answer: MRI findings not typical for tumor. Detailed Answer: Hello, I have read your question about the MRI findings and interpretation. In my opinion, these MRI findings are not indicative of any tumor. These may be linked to any impairment of oxygen supply or myelitis (an autoimmune-like condition after a viral infection for example). I agree with the radiologist's recommendations for restudying with a contrast-enhanced MRI. Discuss with your Doctor these issues. Feel free to ask if you have further questions. Take care.