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MRI of cervical spine question

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    MRI of cervical spine question

    If you were to have MS lesions in your cervical spine, how would it be described in the report? I'm guessing that they would be in the spinal column, since that's where the nerves run.

    Thank you :-).

    #2
    It is the Spinal Cord that would be referenced, MS does not affect the vertebra.

    In my c-spine MRI (small portion of report): "multiple small foci (lesions) in the left aspect of the spinal cord."

    "Impression" section: Findings are most consistent with patient's clinical history of Multiple Sclerosis.
    Diagnosed 1984
    “Lightworkers aren’t here to avoid the darkness…they are here to transform the darkness through the illuminating power of love.” Muses from a mystic

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      #3
      Originally posted by aspen View Post
      If you were to have MS lesions in your cervical spine, how would it be described in the report?
      MS lesions aren't actually in the spine or the spinal column because that's part of your skeleton. I think the term your looking for to describe the big nerve bundle that's enclosed within the spinal column is spinal cord. The radiology report will refer to the spinal cord and locate a lesion (if there is one) by which vertebra or vertebrae it's next to. The cervical part of the spine has 7 vertebrae called C1 thru C7 from the top down. The report will also say something about how large the lesion is.

      If the radiology report says something about an area of signal or a lesion in a vertebral body, that's referring to something in the vertebra (bone) and it's not an MS lesion. That comes up sometimes and people get confused because they think it has to be an MS lesion because it showed up on the MRI and because the same terms that are used to describe an MS lesion in the spinal cord are also used to describe a lesion in a bone. I guess they forget that the bones of the spine and things related to them show up too.

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        #4
        What does yours say?

        Belle
        BamaBelle
        _________________________________
        hubby dx RRMS 03/2013
        Rebif 06/2013-03/14

        Tysabri 03/14-present

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          #5
          Assuming that you had the MRI because your doctor is looking for signs of MS, the last section of the report ('impressions') will mention "lesions typical of MS" (or very similar wording) in the spinal cord (not column) if they see any.

          If the MRI was ordered for other reasons, the radiologist might only vaguely mention lesions in the spinal column (without saying what kind).
          1st sx 11/26/09; Copaxone from 12/1/11 to 7/13/18
          NOT ALL SX ARE MS!

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            #6
            Yes, spinal cord. Brain not working. LOL.

            Thanks, everyone! Under spinal cord it states "There is no convincing signal abnormality within the central spinal cord." That's what I figured. There's nothing here suggesting of ms, just some bone hemangiomas (which are listed as T1 and T2 bright signals; slightly confusing).

            Still in limbo but the ms specialist is officially done with me since nothing showed up. I just would really like some of this fixed. The brain lesions are there and in the right place (meeting McDonald Criteria) but they are, according to him, not big enough to be causing the symptoms I've been experiencing. Of course, I'm left with ongoing issues (although the big stuff is over at this point) with no idea why :-P. Frustrated.

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