Lower back pain, kyphosis, tight heel cord. Evaluate for syrinx or tethered cord, history of Marfan's syndrome, and kyphosis. There is mild to moderate cervicothoracic scoliosis centered at T4-5, with the apex directed to the left and associated straightening of the cervical and thoracic spine alignment in the sagittal plane. There is mild endplate deformity of multiple lumbar vertebrae. The vertebral body and disc space heights are otherwise preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The conus medullaris is positioned at L1-2. There is no evidence of fibrofatty filum terminale. The paravertebral soft tissues are unremarkable. The cerebellar tonsils are not low-lying and there is intact CSF flow across the foramen of Monro.
1. Cervicothoracic scoliosis and mild endplate deformity of multiple lumbar vertebrae are likely stigmata of Marfan's syndrome. 2. No evidence of syringohydromyelia, low lying conus medullaris, or fibrofatty filum terminale.