New upper extremity numbness. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Spine: There are postoperative findings related to cord detethering and scoliosis surgery. The spinal cord is low lying, with the conus medullaris extending to the level of the inferior L3 vertebra. The previously demonstrated thin linear T1 hyperintensity along the filum terminale is not discernible due to the limited technique. There is no evidence of syringohydromyelia. There is mild thoracolumbar dextroscoliosis. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis.
1.No acute cerebral infarct or mass.2. Scoliosis and persistently low-lying conus medullaris, but no evidence of spinal cord compression or syringohydromyelia. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.