Daughter Has Had A Follow Up 1 Year MRI ,

Posted on Mon, 25 Nov 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 25 Nov 2019 Answered on

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Question : Daughter has had a follow up 1 year MRI, I am seeing the size of the cyst is growing or is this normal. she has a decompression surgery with duraplasty. She is starting to get headaches and neck pains when laying down.

Answered by Dr. Mirjeta Guni (2 hours later)

Brief Answer:
About MRI reports:

Detailed Answer:
Hello and thank you for asking!
I have gone carrfully through your concern and attached MRI report.
To compare and judge the Chiari malformation you need to attach both the reports.
Please attach the old one too. Will be a pleasure to help you.
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mirjeta Guni (10 minutes later)

both Reports are in the one file attached, the dates are notes on each of the reports.

Answered by Dr. Mirjeta Guni (19 minutes later)

Brief Answer:
About spinal cystic lesion:

Detailed Answer:
Hi again,
Yes, there is a cystic lesion described, at C6-T1 that has increased ( from 4.5 mm in 2018 to 3.3 cm in 2019). The dilatation is considered significant. The neurologist/ neurosurgeon will confirm rather it is significant clinically and if it explains her symptoms.
The surgical intervention for Chiari malformation appears to be succesful.
Hope the information will help.and wish her good health.
Best wishes,
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mirjeta Guni (19 minutes later)

I apologize I am not understanding your answer. Is it something that I should be worried about? I mean the change in size since it changed so dramatically within a year?

Answered by Dr. Mirjeta Guni (4 minutes later)

Brief Answer:
No need to worry;

Detailed Answer:
Hi again,
I would not say you should get worried as it remains a cystic lesion.
The radiological images should be seen once again, probably the physician wanted to say mm in stead of cm in the second report.

Above answer was peer-reviewed by : Dr. Prasad