| MOHAMMAD ABDUL MAJEED RIDHWAAN HIASAT 26471433

578501
Male August 30, 2023
45 Years, Date of Birth: 7/20/1978 OutPatient
Dr. Waleed Fayez Aldabbas August 30, 2023
DORSAL SPINE MRI WITH CONTRAST September 02, 2023
Confirmed September 02, 2023 9/2/2023, 4:16 PM

MRI of the brain with IV contrast:

Normal ventricles and sulci.
Midline structures are central.
Normal acoustic nerves and posterior fossa.
No focal intracerebral or cerebellar lesion, no abnormal enhancement or other
abnormality is seen.
Retention cyst at floor of right maxillary sinus is noted.
MRI of the cervical, dorsal and lumbosacral spine with IV contrast:
C5-C6: Central disc protrusion more to right side with abutting right anterior
aspect of thecal sac and nerve roots exits foramina bilaterally, more marked on
the right side, no cord compression is seen.
C7-T1: Central disc protrusion abutting thecal sac, no cord or nerve roots
compression is seen.
T7-T8: Left paracentral disc protrusion with downward extrusion compressing left
anterior aspect of thecal sac, no nerve root or cord compression is seen.
T8-T9: Left posterolateral disc protrusion compressing left anterolateral aspect of
thecal sac and left nerve root exit foramina, no cord compression is seen.
T10-T11: There is a small mass measuring 15.9×11.7×9.9 mm in dimension with
some irregularity in its border looks projecting inside the cord suggesting intradural
extramedullary mass, however, cord invasion can't be excluded. This mass is

Reported By : Dr. Yousef Nassar

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 | MOHAMMAD ABDUL MAJEED RIDHWAAN HIASAT 26471433
578501
Male August 30, 2023
45 Years, Date of Birth: 7/20/1978 OutPatient
Dr. Waleed Fayez Aldabbas
DORSAL SPINE MRI WITH CONTRAST August 30, 2023
September 02, 2023
Confirmed September 02, 2023 9/2/2023, 4:16 PM

showing almost homogeneous enhancement on postcontrast study with probably

a meningeal tail on the right side, this mass is compressing right posterolateral
aspect of cord, no cord edema and no nerve root compression is seen.
T11-T12: There is a another similar but larger mass of heterogeneous intensity
hyper and isointense-to cord on T2-weighted images and is almost isointense on
T1-weighted images measuring 11.7×11.1×13.2 mm at the left posterior lateral
aspect of the cord which looks also extramedullary intradural, it compresses the
cord at left posterior lateral aspect with suspicious invasion of the cord can't be
excluded, no cord edema or nerve root compression is seen.
These 2 lesions probably represent meningiomas. However, metastasis or
other causes can't be excluded. Biopsy might be considered.
L3-L4: Retrolisthesis of L3 over L4 with mild degenerative changes and
secondary associated with central disc protrusion with downward extrusion
compressing thecal sac and abutting nerve roots exits foramina bilaterally are
noted.
L4-L5: Evidence of left laminectomy and there is lumbar canal stenosis with
enhancing tissue at left paracentral region and surrounding the left nerve root,
indicating fibrosis with some tissue enhancement at site of laminectomy are noted.
L5-S1: Central disc protrusion more to left side abutting nerve roots more on the
side, no thecal sac compression is seen.

Reported By : Dr. Yousef Nassar

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