Ask a Neurologist. Get Answers to Your Neurology Questions.
Hello, my name is***** I am Board Certified with 17 years of experience, and I will do my best to help you today. To make sure I don’t miss anything, please give me a minute to review your question. :)
Good morning, I am happy to help you, what does the report say?
Ok, I will opt out.
Hello. I am a neurologist with special training in radiology. Let me know if you still need assistance.
If you write the sentence from the report, I will do my best to explain it to you, or provide some context.
That means the cysts are just behind the rib at the middle of the rib cage on the back. They are not syringomyelia. They are small cyst. Do you have any symptoms?
They could be lymph nodes. The enhanced one has inflammation or infection. The non-enhanced one doesn't have it.
Lymph nodes are solid and enhance with contrast. These lesions are cystic, meaning that they have a thin wall and are likely fluid-filled. They are along the front of the ribs (anterior) and may simply be developmental anomalies associated with your scoliosis and pectus deformity. They may also be acquired lesions such as fibrous dysplasia which are the most common rib lesions and typically arise during the second decade of life. They are typically painless and do not affect breathing. Did they show up on the CT? Your breathing issues may be the result of a slowly progressive restrictive lung disorder from your skeletal abnormalities. A pulmonologist could sort this out for you. As for the lesions, while they are unlikely to be expansile or malignant, the only way to know for sure would be to biopsy one of them, which would be risky. Ask your GP for a referral to a pulmonologist who can also advise you about how to handle this.
You're welcome. Let me know if you have any follow up questions.