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What Does My MRI Report Suggest?
Enter Your quM.R.I of the Lumbosacral spine (contrast)
Technique:
. T1 weighted and T2 weighted axials / sagittals.
. Post contrast T1 FS multiplanar sequences.
. T1 FS post sagittal screening of the whole spine.
Report:
Evidence of a large well defined SOL in the presacral region extending from the S1 to S3 levels. The Lesion shows both solid and cystic / necrotic components with intense enhancement of the solid porions of the lesion. No fatty components. The Lesion measures 7.7 x 6.1 x 8.4 cms (AP x transverse x superoinferior)
The Lesion is closely abutting the sacrum in the midline and to the left side in these regions. Widening of the S1-S2 neural foramina and subtle scalloping of the anterior sacral cortex is noted and the lesion is in contact with the left S2 exiting nerve root. However the nerve is not encased by the lesion and appears separate from it. No enhancing intraspinal component seen. Anteriority it is seen in the presacral space separate from the rectosigmoid colon.
Visualized sacro-iliac joints appear normal.
Sagittal screening of the rest of the spine did not reveal any significant abnormality.
The cervical and dorsal spinal cord appears normal in size and signal intensity.
IMPRESSION:
Presacral SOL from S1 to S3 levels as described above.
Possibilities to consider include:
a) Exophytic schwannoma arising from the left S2 exiting nerve root with only extraspinal component.
b) Tail gut cyst – less likely.
What are the consequences if I undergo a surgery?
Technique:
. T1 weighted and T2 weighted axials / sagittals.
. Post contrast T1 FS multiplanar sequences.
. T1 FS post sagittal screening of the whole spine.
Report:
Evidence of a large well defined SOL in the presacral region extending from the S1 to S3 levels. The Lesion shows both solid and cystic / necrotic components with intense enhancement of the solid porions of the lesion. No fatty components. The Lesion measures 7.7 x 6.1 x 8.4 cms (AP x transverse x superoinferior)
The Lesion is closely abutting the sacrum in the midline and to the left side in these regions. Widening of the S1-S2 neural foramina and subtle scalloping of the anterior sacral cortex is noted and the lesion is in contact with the left S2 exiting nerve root. However the nerve is not encased by the lesion and appears separate from it. No enhancing intraspinal component seen. Anteriority it is seen in the presacral space separate from the rectosigmoid colon.
Visualized sacro-iliac joints appear normal.
Sagittal screening of the rest of the spine did not reveal any significant abnormality.
The cervical and dorsal spinal cord appears normal in size and signal intensity.
IMPRESSION:
Presacral SOL from S1 to S3 levels as described above.
Possibilities to consider include:
a) Exophytic schwannoma arising from the left S2 exiting nerve root with only extraspinal component.
b) Tail gut cyst – less likely.
What are the consequences if I undergo a surgery?
Sat, 19 Apr 2014
Hello and welcome to HCM,
The interpretationof the MRI report is as follows:
There is presence of a tumor in the sacral region.
Sacral region is the lower part of the spinal cord.
The tumor is compressing the nerve fibers emanating from the neural foramina. The tumor is also causing pressure on the vertebral bodies.
The internal structure of the tumor is partially solid and partially cystic.
There is possibility of a nerve sheath tumor called schwannoma which is a benign tumor.
Surgical excision is the definitive treatment for the tumor.
Thanks and take care
Dr Shailja P Wahal
The interpretationof the MRI report is as follows:
There is presence of a tumor in the sacral region.
Sacral region is the lower part of the spinal cord.
The tumor is compressing the nerve fibers emanating from the neural foramina. The tumor is also causing pressure on the vertebral bodies.
The internal structure of the tumor is partially solid and partially cystic.
There is possibility of a nerve sheath tumor called schwannoma which is a benign tumor.
Surgical excision is the definitive treatment for the tumor.
Thanks and take care
Dr Shailja P Wahal
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