10-year-old female with history of T6 osteoblastoma, 2 year evaluation for recurrence Redemonstrated are post operative changes of spinal fusion extending from T5 to T7. There is evidence of bilateral transpedicular screw placement at T5, left-sided transpedicular screw placement at T6 and bilateral transpedicular screw placement at T7, similar to prior exam. Artifact from the metallic hardware renders images nondiagnostic for immediately adjacent tissues. Partially visualized vertebral bodies and posterior elements at these levels demonstrate no definite evidence of signal abnormality or abnormal enhancement. Redemonstrated is mild chronic compression deformity of T5 vertebrae right laterally, unchanged. The signal intensity and morphology of the thoracic spine from C7 to T4 remains normal in appearance without abnormal enhancement. The signal intensity and caliber of the cord at these levels is also within normal and without enhancement.The signal intensity and morphology of thoracic spine from T8 to L3 levels remains normal in appearance without abnormal signal intensity or enhancement. The signal intensity and caliber of thoracic cord at these levels, as well as conus and partially visualized cauda equina, also remains normal in appearance and without abnormal in enhancement.No definitive evidence of perispinal soft tissue abnormality with the exception of expected postop changes which are stable in appearance.
Limited exam at the level of prior surgery and fusion from T5 to T7 due to metallic hardware artifact. Within this limitation there is no definitive evidence of disease recurrence. 