14-year-old female patient with scoliosis. Evaluate for Chiari malformation, syrinx, and tethered cord. CERVICAL SPINE: The cerebellar tonsils are normal position. The visualized posterior fossa structures are unremarkable. Biphasic flow is noted ventrally and dorsally at the foramen magnum.There is reversal of the normal cervical lordosis with a mild kyphotic angulation at the C5/C6 level. There is mild disc bulge at the C5/C6 level without significant canal stenosis. Vertebral body heights are maintained. There is no spinal canal or neural foraminal stenosis at the remaining cervical spine levels. No cervical spinal cord syrinx is identified. THORACIC SPINE:There is a thoracolumbar levoscoliosis with an apex at T11. Vertebral body heights are maintained. There is no spinal canal or neural foraminal stenosis. There is no syrinx of the thoracic spinal cord. There is dependent basilar atelectasis within the bilateral lungs.LUMBAR SPINE:There is a thoracolumbar levoscoliosis with an apex at T11. Vertebral body heights are maintained. There is no spinal canal or neural foraminal stenosis. The conus medullaris terminates at the level of L1-L2. The cauda equina moves dependently in the spinal canal with prone positioning. There is no syrinx of the lumbar spinal cord, evidence of fatty filum, or other lesion within the lumbar spinal canal.
1. No evidence of Chiari malformation, syrinx, or evidence of tethered cord.2. There is levoscoliosis at the thoracolumbar junction. There is also reversal of the cervical lordosis.