Q. MRI spine showed intramedullary mass at T4. Is it a cyst or malignancy?

Answered by
Dr. Lokesh
and medically reviewed by iCliniq medical review team.
Published on May 22, 2018

Hello doctor,

I had an MRI of the thoracic spine and it showed an intramedullar mass at level T4. I was told it is likely to be a cyst and is not malignant. However, everything I have read online says that intramedullar lesions are almost always malignant and cysts are rare or maybe evidence of MS, which my uncle had, so now I am worried. The reports says it is a fusiform mass with hypersignal intensity at T2W1 and hyposignal intensity at T1W1.

Dr. Lokesh

Orthopedics And Traumatology Spine Health Spine Surgery
#

Hello,

Welcome to icliniq.com.

Can you attach the MRI images and upload it so that I can see it?

For more information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist

Thank you doctor,

I have attached the files. Please have a look.

Dr. Lokesh

Orthopedics And Traumatology Spine Health Spine Surgery
#

Hi,

Welcome back to icliniq.com.

I have seen your MRI scans (attachment removed to protect patient identity). The lesion is cystic but it can be benign or malignant. Cystic lesions does not mean that it can only be benign. It can be a benign focal syrinx or an ependymoma which can either be benign or malignant, or locally aggressive cystic lesions. Mostly ependymomas require removal surgically with or without radiation therapy. Recurrences are common if the cyst is not removed surgically.

Is there weakness of the lower limbs or urinary or bowel problems? Can you detail the symptoms the patient has? And also the duration of symptoms?

For more information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist


Hi doctor,

That is helpful to know, thank you. So how can I tell which type it is? Only by removing? My symptom has been pain around my right side on my ribs for nearly a year. I am not sure if this would be the cause. No lower limb weakness is there.

Dr. Lokesh

Orthopedics And Traumatology Spine Health Spine Surgery
#

Hello,

Welcome back to icliniq.com.

Yes, surgical excision and histopathology testing will help in knowing the type of lesion. The neuro or spine surgeon will take the final decision after clinically examining you. Pretty difficult to exactly say the type of lesion by MRI according to me.

For more information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist

Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Related Questions & Answers


What are the reasons for left side hip pain?

Query: Hi doctor, I have some pain on the left side just above my hip bone. It started recently after I finished my period and it has been there for a few days. It is very much uncomfortable and hurts when there is pressure on it.  Read Full »

What does positive Hoffman's sign mean?

Query: Hello doctor, I am a 29 year old male. I was previously diagnosed with essential tremor, for which I have been taking Propanolol 160 mg for six years. My current symptoms are constant tingling, soreness, and restlessness of the legs. I get spasms in the legs as well as arms. My right eye goes blur...  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask a Spine Health Specialist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.