 There is transitional spinal anatomy. Counting from C2, there are 4 lumbar appearing vertebrae. There appear to be 12 rib bearing thoracic vertebrae. For the purposes of this exam, the last fully formed disk is at the L4-S1. There is severe dextroscoliosis of the thoracic spine with apex of curvature at T9, which is worsened from the prior examination. There is compensatory mild levoscoliosis of the lumbar spine apex of curvature at L3. The vertebral body and disk heights are well-maintained except for disc narrowing along the lesser curvatures of the scoliosis. The spinal cord is of normal caliber and signal. The distal spinal cord and conus are within normal limits. The vertebral bone marrow signal is unremarkable.
1. Interval worsening of severe thoracic dextroscoliosis and mild compensatory levoscoliosis of the lumbar spine since 2013. 2. Transitional spinal anatomy, with 4 lumbar appearing vertebrae. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.