Cleaning up MR neurographies before RSNA visit.
Here is a nice one!
s/p TOS surgery
Right side: Increased signal and thickening of the right C8 nerve root with signal abnormality extending into the right lower trunk. Mild altered course with perineural scarring.
Left-side: Increased signal and thickening of left C8 and T1 nerve roots with signal abnormality extending into the left lower trunk, medial cord and proximal ulnar nerve. Associated substantial altered course with perineural scarring. The nerve course alteration is exaggerated on arms up positioning. 3-D processed images enclosed
Left upper arm: Normal muscles and nerves.
Vessels- ok
Yellow nerve on heat map is not good.
NS-RADS: Nerve: PI3 – Postintervention/surgical cases, definitely persistent or worsening neuropathy, Muscle: M0 – Normal
Avneesh Chhabra, M.D. M.B.A.
Professor Radiology & Orthopedic Surgery
Chief, Division of Musculoskeletal Radiology
UT Southwestern Medical Center, Dallas, Tx
5373 Harry Hines Blvd.
Dallas, Tx-75390-9178
Office: 214-648-2122
avneesh.chhabra@utsouthwestern.edu<mailto:avneesh.chhabra@utsouthwestern.edu>
www.utsouthwestern.edu<www.utsouthwestern.edu/>
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