25 years Female (DOB: 3/2/1991)Reason: h/o Chiari malformation type I, evaluate for syrinx History: NAPROVIDER/ATTENDING NAME: IRIS L ROMERO IRIS L ROMERO The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is straightening of the normal cervical curvature present. This could be positional or related to muscle spasm. It is nonspecific. There is some mild multilevel disc desiccation present. The cerebellar tonsils extend below the level of the foramen magnum by approximately 6 mm. There is no change since prior exam. Overall the marrow signal is somewhat diminished.CSF flow study demonstrates normal biphasic flow at the level of foramen magnum.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a small broad-based left paramedian disc protrusion at this level. At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.Although there is a Chiari I malformation present , CSF flow study does not reveal any impedance of flow. There is no evidence for syrinx. There is no change since prior exam.2.There are minor degenerative changes present in the cervical spine.3.Diminished marrow signal on T1-weighted imaging suggests some marrow replacement. This can be explained on the basis of sickle cell anemia.