求审稿# EE - 电子工程
m*9
1 楼
由于最近几个月来，一直头晕，四肢乏力，四肢发麻，去看了neurologist, 做了头部
，颈椎的MRI，刚拿到报告，医生说没有大的问题，需要进一步去看神经外科，但是我
看到头部MRI的报告显示有问题，这个让我很担心。 然后这个颈椎的问题能引起头晕么
？ 报告上写的是没有脊髓和神经压迫。 请帮忙看看怎么回事？ 暂时我还没拿到片子
，如果有需要，等拿到片子后，我也可以上传。 谢谢。
头部的报告内容：
MRI BRAIN WITHOUT AND WITH CONTRAST
History: Headaches, unsteady gait, and bilateral leg greater than arm
numbness. Evaluate for demyelinating disease.
Technique: Precontrast T1 axial, DWI axial, GRE T2 axial images were
obtained. Postcontrast 3 mm thick T2 axial, T1 axials, 3-D T1 series and 3-D
T2 FLAIR series which were reconstructed into the sagittal, axial and
coronal planes were obtained after administration of 9 cc of MultiHance.
Comparison: None
Findings: There are 5 punctate T2 hyperintense predominantly anterior deep
white matter lesions. None have an ovoid configuration or involve the corpus
callosum. None are in a periventricular or juxtacortical location. No T2
hyperintensities are seen involving the brainstem or cerebellar hemispheres.
None of these areas demonstrate mass effect, enhancement, hemorrhage or
restricted diffusion. The ventricles and sulci are normal in size and
position without midline shift or mass effect. No extra-axial fluid
collections are seen. The large intracranial vessels as visualized are
within normal limits. Specifically, there is no evidence of occlusion or
greater than 50% narrowing of the dural venous sinuses on the postcontrast
isotropic 1-mm resolution 3-D T1-weighted series. Lastly a 14 mm long area
of fullness is seen involving the subcutaneous tissues posterior to the
right posterior parietal scalp (series 904 images 21-25 and series 903
images 46-48. This does not demonstrate abnormal enhancement or T2
hyperintensity. No invasion of the underlying calvarium is seen. The
etiology is unclear but it has a benign appearance.
IMPRESSION: THERE ARE 5 PUNCTATE PREDOMINANTLY DEEP BILATERAL ANTERIOR WHITE
MATTER LESIONS WITHOUT MASS EFFECT OR ENHANCEMENT TO SUGGEST A RECENT
ABNORMALITY. THESE DO NOT MEET THE REVISED MCDONALD CRITERIA OF DISSEMINATED
IN SPACE.
颈椎的报告内容：
MRI CERVICAL SPINE WITHOUT AND WITH CONTRAST
History: Patient with unsteady gait and bilateral leg greater than arm
numbness. Evaluate for demyelinating disease.
Technique: T2 sagittal, STIR sagittal, 2D MERGE T2 axial, T1 sagittal and T1
axial axial images without and with contrast of the cervical spine were
performed using 9 cc of Multihance.
Comparison: None
Findings: Normal cervical spine bony alignment is seen. There is no
evidence of a paraspinous mass. The size and signal intensity of the
cervical cord are within normal limits. Specifically no areas of T2
hyperintensity or abnormal gadolinium enhancement are identified to suggest
regions of demyelination.
C2-3: Within normal limits.
C3-4: A focal right paracentral disc herniation is seen effacing most of the
CSF anterior cervical cord without cord compression or cord edema (series 7
image 11).
C4-5: A broad-based disc bulge is seen effacing some but not all the CSF
anterior cervical cord without cord compression or nerve root compression (
series 7 image 15).
C5-6: Within normal limits.
C6-7: Within normal limits.
C7-T1: Within normal limits.
IMPRESSION:
1. NO FOCAL AREAS OF T2 HYPERINTENSITY OR ENHANCEMENT IS SEEN INVOLVING THE
CERVICAL OR UPPER THORACIC CORD TO SUGGEST DEMYELINATING DISEASE AS
QUESTIONED CLINICALLY.
2. AT THE C3-4 LEVEL THERE IS A FOCAL RIGHT PARACENTRAL DISC HERNIATION
CAUSING MILD/MODERATE CENTRAL CANAL STENOSIS WITHOUT CORD COMPRESSION OR
NERVE ROOT COMPRESSION.
3. BROAD-BASED DISC BULGE SEEN AT THE C4-5 LEVEL CAUSING MILD STENOSIS.
，颈椎的MRI，刚拿到报告，医生说没有大的问题，需要进一步去看神经外科，但是我
看到头部MRI的报告显示有问题，这个让我很担心。 然后这个颈椎的问题能引起头晕么
？ 报告上写的是没有脊髓和神经压迫。 请帮忙看看怎么回事？ 暂时我还没拿到片子
，如果有需要，等拿到片子后，我也可以上传。 谢谢。
头部的报告内容：
MRI BRAIN WITHOUT AND WITH CONTRAST
History: Headaches, unsteady gait, and bilateral leg greater than arm
numbness. Evaluate for demyelinating disease.
Technique: Precontrast T1 axial, DWI axial, GRE T2 axial images were
obtained. Postcontrast 3 mm thick T2 axial, T1 axials, 3-D T1 series and 3-D
T2 FLAIR series which were reconstructed into the sagittal, axial and
coronal planes were obtained after administration of 9 cc of MultiHance.
Comparison: None
Findings: There are 5 punctate T2 hyperintense predominantly anterior deep
white matter lesions. None have an ovoid configuration or involve the corpus
callosum. None are in a periventricular or juxtacortical location. No T2
hyperintensities are seen involving the brainstem or cerebellar hemispheres.
None of these areas demonstrate mass effect, enhancement, hemorrhage or
restricted diffusion. The ventricles and sulci are normal in size and
position without midline shift or mass effect. No extra-axial fluid
collections are seen. The large intracranial vessels as visualized are
within normal limits. Specifically, there is no evidence of occlusion or
greater than 50% narrowing of the dural venous sinuses on the postcontrast
isotropic 1-mm resolution 3-D T1-weighted series. Lastly a 14 mm long area
of fullness is seen involving the subcutaneous tissues posterior to the
right posterior parietal scalp (series 904 images 21-25 and series 903
images 46-48. This does not demonstrate abnormal enhancement or T2
hyperintensity. No invasion of the underlying calvarium is seen. The
etiology is unclear but it has a benign appearance.
IMPRESSION: THERE ARE 5 PUNCTATE PREDOMINANTLY DEEP BILATERAL ANTERIOR WHITE
MATTER LESIONS WITHOUT MASS EFFECT OR ENHANCEMENT TO SUGGEST A RECENT
ABNORMALITY. THESE DO NOT MEET THE REVISED MCDONALD CRITERIA OF DISSEMINATED
IN SPACE.
颈椎的报告内容：
MRI CERVICAL SPINE WITHOUT AND WITH CONTRAST
History: Patient with unsteady gait and bilateral leg greater than arm
numbness. Evaluate for demyelinating disease.
Technique: T2 sagittal, STIR sagittal, 2D MERGE T2 axial, T1 sagittal and T1
axial axial images without and with contrast of the cervical spine were
performed using 9 cc of Multihance.
Comparison: None
Findings: Normal cervical spine bony alignment is seen. There is no
evidence of a paraspinous mass. The size and signal intensity of the
cervical cord are within normal limits. Specifically no areas of T2
hyperintensity or abnormal gadolinium enhancement are identified to suggest
regions of demyelination.
C2-3: Within normal limits.
C3-4: A focal right paracentral disc herniation is seen effacing most of the
CSF anterior cervical cord without cord compression or cord edema (series 7
image 11).
C4-5: A broad-based disc bulge is seen effacing some but not all the CSF
anterior cervical cord without cord compression or nerve root compression (
series 7 image 15).
C5-6: Within normal limits.
C6-7: Within normal limits.
C7-T1: Within normal limits.
IMPRESSION:
1. NO FOCAL AREAS OF T2 HYPERINTENSITY OR ENHANCEMENT IS SEEN INVOLVING THE
CERVICAL OR UPPER THORACIC CORD TO SUGGEST DEMYELINATING DISEASE AS
QUESTIONED CLINICALLY.
2. AT THE C3-4 LEVEL THERE IS A FOCAL RIGHT PARACENTRAL DISC HERNIATION
CAUSING MILD/MODERATE CENTRAL CANAL STENOSIS WITHOUT CORD COMPRESSION OR
NERVE ROOT COMPRESSION.
3. BROAD-BASED DISC BULGE SEEN AT THE C4-5 LEVEL CAUSING MILD STENOSIS.
