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Hi, Dr. Chail: I Was Wondering Why Some Of The

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Posted on Tue, 7 Jul 2020
Twitter Tue, 7 Jul 2020 Answered on
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Question : Hi, Dr. Chail:

I was wondering why some of the vertebrae in the cervical images (1-4) are light and some are dark, I think the original films said all these were T2 images? Also, I noticed a black round spot in the bright white line going downward, can you tell what this may be? I'm not able to go to a doctor right now, so trying to get information in case there is something urgent or really concerning. Thank you for all the help you provide.
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Follow up: Dr. Vivek Chail (0 minute later)
Hi, Dr. Chail:

I was wondering why some of the vertebrae in the cervical images (1-4) are light and some are dark, I think the original films said all these were T2 images? Also, I noticed a black round spot in the bright white line going downward, can you tell what this may be? I'm not able to go to a doctor right now, so trying to get information in case there is something urgent or really concerning. Thank you for all the help you provide.
doctor
Answered by Dr. Vivek Chail (7 hours later)
Brief Answer:
There is thickening of the ligamentum flavum

Detailed Answer:
Hi,
Thanks for writing in to us.

The images are T2 sagittal. The second image is not a true image and blue colour is added to make it appear that way.

The dark area in the white line in C6-C7 level is a likely hypertrophy of the ligamentum flavum and is abutting the thecal sac. This is a degenerative change causing thickening of the ligament behind the spinal canal. It is causing mild pressure on the spinal canal and not a serious problem.

Regards,
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
There is thickening of the ligamentum flavum

Detailed Answer:
Hi,
Thanks for writing in to us.

The images are T2 sagittal. The second image is not a true image and blue colour is added to make it appear that way.

The dark area in the white line in C6-C7 level is a likely hypertrophy of the ligamentum flavum and is abutting the thecal sac. This is a degenerative change causing thickening of the ligament behind the spinal canal. It is causing mild pressure on the spinal canal and not a serious problem.

Regards,
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Vivek Chail (10 hours later)
Thank you, Dr. Chail:

Was also wondering why the first couple of cervical vertebrae closer to head are whiter or lighter in color and the vertebrae going down the neck are darker in color?

And in images '7 mri' and '8 mri' there is a big bright white circle/ball on the right right side of image (under shoulder) then in '9 mri' it the big white circle is not there but there are tiny little bright white dots in that shoulder area?

I really appreciate all of your help.

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Follow up: Dr. Vivek Chail (0 minute later)
Thank you, Dr. Chail:

Was also wondering why the first couple of cervical vertebrae closer to head are whiter or lighter in color and the vertebrae going down the neck are darker in color?

And in images '7 mri' and '8 mri' there is a big bright white circle/ball on the right right side of image (under shoulder) then in '9 mri' it the big white circle is not there but there are tiny little bright white dots in that shoulder area?

I really appreciate all of your help.

doctor
Answered by Dr. Vivek Chail (15 hours later)
Brief Answer:
Please see the picture in link below and confirm if you mean the same area

Detailed Answer:

Hi,
Thanks for writing in to us.

There is marrow in the vertebrae and contains varying amount of fat. As we grow older the fat increases and this can vary between vertebrae. T2 images show fat as bright areas. The vertebrae appearing bright might be due to increased fat and is normal.

Please see the picture in the link below.
https://ibb.co/QbX5TRK

You will find a blue circle around a white area and it is likely a fluid or fat containing bone lesion in the proximal left humerus and is benign in most cases. Please discuss with your doctors and get a CT and MRI scan of the left arm to confirm the diagnosis. Thanks for drawing my attention to the area as it is away from the spine.

If there is any other area that you mentioned as a big bright white circle and ball then please reply with an image and making the area.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Please see the picture in link below and confirm if you mean the same area

Detailed Answer:

Hi,
Thanks for writing in to us.

There is marrow in the vertebrae and contains varying amount of fat. As we grow older the fat increases and this can vary between vertebrae. T2 images show fat as bright areas. The vertebrae appearing bright might be due to increased fat and is normal.

Please see the picture in the link below.
https://ibb.co/QbX5TRK

You will find a blue circle around a white area and it is likely a fluid or fat containing bone lesion in the proximal left humerus and is benign in most cases. Please discuss with your doctors and get a CT and MRI scan of the left arm to confirm the diagnosis. Thanks for drawing my attention to the area as it is away from the spine.

If there is any other area that you mentioned as a big bright white circle and ball then please reply with an image and making the area.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (19 hours later)
Hi, Dr. Chail:

Confirming yes, the circled area in the image is the one I was asking about, thank you for clarifying and explaining.

I upload 3 more images:
"1 Thoracic with circle and arrow"
"2 Thoracic with arrows"
"2 Lumbar"

In the thoracic images I circled or made arrows toward the areas I have a question about, and in the lumbar, can you give me your opinion of the condition or if is there anything of urgent concern that you are able to see?

I truly appreciate all of your help. Thank you.
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Follow up: Dr. Vivek Chail (0 minute later)
Hi, Dr. Chail:

Confirming yes, the circled area in the image is the one I was asking about, thank you for clarifying and explaining.

I upload 3 more images:
"1 Thoracic with circle and arrow"
"2 Thoracic with arrows"
"2 Lumbar"

In the thoracic images I circled or made arrows toward the areas I have a question about, and in the lumbar, can you give me your opinion of the condition or if is there anything of urgent concern that you are able to see?

I truly appreciate all of your help. Thank you.
doctor
Answered by Dr. Vivek Chail (34 minutes later)
Brief Answer:
There are degenerative disc changes and L3-L4 disc protrusion

Detailed Answer:

Hi,
Thanks for writing in to us.

Glad to know that the circled area was the concern in the shoulder image.

I have reviewed the new images.

1 Thoracic with circle and arrow
The spine is not straight so you end up seeing parts of structures when an image like this is viewed. The image is in a straight line so there are areas showing partial voulme of normal structures and that is visualised as the area in the circle.

The arrows are showing spinal nerves and surrounding fat coming out of the neural foramina and is normal.

2 Thoracic with arrows
The image has circles and is showing exiting spinal nerves and surrounding fat and is visualised and part of the thecal sac and spinal cord and is that way due to the curvature of the vertebrae and is normal.

2 Lumbar
There is degenerative disc changes in L3-L4, L4-L5 and L5-S1 disc levels. In L3-L4 disc level there is disc protrusion and moderate neural foramina compromise to one side and causing pinching of nerve and likely pain in the lower back and radiating to the legs. Please discuss the problem area with your doctors.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
There are degenerative disc changes and L3-L4 disc protrusion

Detailed Answer:

Hi,
Thanks for writing in to us.

Glad to know that the circled area was the concern in the shoulder image.

I have reviewed the new images.

1 Thoracic with circle and arrow
The spine is not straight so you end up seeing parts of structures when an image like this is viewed. The image is in a straight line so there are areas showing partial voulme of normal structures and that is visualised as the area in the circle.

The arrows are showing spinal nerves and surrounding fat coming out of the neural foramina and is normal.

2 Thoracic with arrows
The image has circles and is showing exiting spinal nerves and surrounding fat and is visualised and part of the thecal sac and spinal cord and is that way due to the curvature of the vertebrae and is normal.

2 Lumbar
There is degenerative disc changes in L3-L4, L4-L5 and L5-S1 disc levels. In L3-L4 disc level there is disc protrusion and moderate neural foramina compromise to one side and causing pinching of nerve and likely pain in the lower back and radiating to the legs. Please discuss the problem area with your doctors.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (41 minutes later)
Hi again Dr. Chail:

I have one more lumbar question, I attached the image titled "Lumbar with red circle", the area in question in circled in red; I asked the follow up question in a new thread.

Thanks so very much, you are very helpful.
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Follow up: Dr. Vivek Chail (0 minute later)
Hi again Dr. Chail:

I have one more lumbar question, I attached the image titled "Lumbar with red circle", the area in question in circled in red; I asked the follow up question in a new thread.

Thanks so very much, you are very helpful.
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Follow up: Dr. Vivek Chail (24 hours later)
Hi again, Dr. Chail:

In the other most recent question thread... I attached two images:

"1 throat with yellow circles" and "2 throat with green circles", the area in question is circled in yellow and green.

Thank you so very much for all of your help.
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Follow up: Dr. Vivek Chail (0 minute later)
Hi again, Dr. Chail:

In the other most recent question thread... I attached two images:

"1 throat with yellow circles" and "2 throat with green circles", the area in question is circled in yellow and green.

Thank you so very much for all of your help.
doctor
Answered by Dr. Vivek Chail (46 minutes later)
Brief Answer:
The prevertebral area and the voice box are visualised in the throat

Detailed Answer:
Hi,
Thanks for writing in to us.

The prevertebral area and the voice box are visualised in the recent images of the throat.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
The prevertebral area and the voice box are visualised in the throat

Detailed Answer:
Hi,
Thanks for writing in to us.

The prevertebral area and the voice box are visualised in the recent images of the throat.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (21 hours later)
Hi again, Dr. Chail:

In the other most recent question thread... I asked a follow-up question and attached 3 images:

"3 Front of throat with yellow circle"
"4 Front of throat with yellow circle"
"5 Font of throat with yellow circles"

Thank you very again much for all of your help.
default
Follow up: Dr. Vivek Chail (0 minute later)
Hi again, Dr. Chail:

In the other most recent question thread... I asked a follow-up question and attached 3 images:

"3 Front of throat with yellow circle"
"4 Front of throat with yellow circle"
"5 Font of throat with yellow circles"

Thank you very again much for all of your help.
doctor
Answered by Dr. Vivek Chail (15 hours later)
Brief Answer:
Prevetebral soft tissues and vertebral artery

Detailed Answer:
Hi,
Thanks for writing in to us.

Prevetebral soft tissues and vertebral artery are visualized in the recent images.

Regards,
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Prevetebral soft tissues and vertebral artery

Detailed Answer:
Hi,
Thanks for writing in to us.

Prevetebral soft tissues and vertebral artery are visualized in the recent images.

Regards,
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6873 Questions

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Hi, Dr. Chail: I Was Wondering Why Some Of The

Hi, Dr. Chail: I was wondering why some of the vertebrae in the cervical images (1-4) are light and some are dark, I think the original films said all these were T2 images? Also, I noticed a black round spot in the bright white line going downward, can you tell what this may be? I'm not able to go to a doctor right now, so trying to get information in case there is something urgent or really concerning. Thank you for all the help you provide.