PMC4897971_01
57-year-old man with sarcoidosis. From left to right: Short term inversion recovery, T2 weighted, and T1 weighted post gadolinium administration sagittal MRI of the cervical spine showing an elongated intramedullary area of increased signal intensity with minimal contrast enhancement after gadolinium administration.
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57-year-old man with sarcoidosis. Coronal CT of the chest with contrast demonstrating extensive right sided hilar lymphadenopathy with mild left hilar adenopathy and moderate mediastinal adenopathy.
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At this time, due to the possibility of neoplastic process, CT examination of the chest (Fig. 2) was also obtained which revealed extensive right hilar lymphadenopathy with mild left hilar adenopathy and moderate mediastinal adenopathy.
57-year-old man with sarcoidosis. From left to right: Short term inversion recovery, T2 weighted, and T1 weighted post gadolinium administration sagittal MRI of the cervical spine showing a significant decrease in both signal intensity and size of the previously noted region of increased signal intensity on T2, and STIR sequences and also improvement of the amount of contrast enhancement.
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MR recommended after one month. MRI after one months time (Fig. 3) showed significant improvement in the cervical spinal cord lesion, with decrease in size and enhancement when compared to the prior examination.
57-year-old man with sarcoidosis. From left to right: short term inversion recovery, T2 weighted, and T1 weighted post gadolinium administration sagittal MRI of the cervical spine showing the previously noted elongated area of increased signal intensity again identified within the spinal cord on the STIR sequence but appearing less intense. The area extends from C5 to C7 and is without significantly increased signal intensity on the T1 and T2 sequences. There was no significant contrast enhancement on the post gadolinium T1 sequence.
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The patient returned for follow up MRI four months after the initial MR (Fig. 4), which demonstrated near complete resolution of the cervical spinal cord lesion.