9-year-old male with history of epidural lipomatosis, status post T3 to T8 laminotomy with upper extremity weakness, evaluate for swelling of spinal cord. Redemonstrated is increased T2 signal intensity within the cord extending from C5 inferiorly through the entire thoracic cord and reaching the conus. This is associated with progressive enhancement, with a ring enhancing pattern involving the cervical component. There has interval diminution of the central canal beginning at the approximate T3 level and extending inferiorly through T10. This is worse at C6/7 where the central canal now measures 3 x 2 mm in transaxial dimension. Redemonstrated are postoperative changes of multi-level laminotomy with epidural enhancement at the surgical site as well as enhancement of posterior soft tissues.
1.Redemonstrated is increased T2 signal intensity within the cord extending from C5 inferiorly through the entire thoracic cord and reaching the conus. This is associated with progressive enhancement, with a ring enhancing pattern involving the cervical component.2.There has interval diminution of the central canal beginning at the approximate T3 level and extending inferiorly through T10. This is worse at C6/7 where the central canal now measures 3 x 2 mm in transaxial dimension. It is uncertain if this represents compression upon the thecal sac by epidural components, progressive atrophy of the cord with loss of volume, or a combination thereof.3.Findings were discussed with Dr. Ramos on 4/27/2015 at approximately 4:00 PM.