Clinical question: Evaluate for an appendectomy bed may explain episodic drop attack. Signs and symptoms: Drop attacks with lower extremity weakness while climbing stairs. Pre- and post enhanced cervical MRI:There is normal anatomical development, morphology, signal intensity and alignment of vertebral column.There is normal signal intensity and caliber of the cervical cord.There is no appreciable degenerative disease, no evidence of central spinal stenosis or neural foraminal compromise at any level.Postcontrast images demonstrate no abnormal enhancement of the vertebral column, cervical cord or the leptomeninges.Pre and post enhanced thoracic MRI:There is normal anatomical development, morphology and alignment as well as signal intensity of vertebral column.There is no appreciable degenerative changes, no evidence of a spinal canal or neural foraminal compromise at any level.There is normal signal intensity and caliber of thoracic cord and without detectable abnormal enhancement. There is no detectable. Spinal soft tissue abnormalities.Pre and post enhancement lumbar MRI:There is normal anatomical development, morphology, signal intensity and alignment of vertebral column.There is no degenerative disease of lumbar spine of any significance. There is no evidence of a spinal canal or neural foraminal compromise at any level.There is normal signal intensity, morphology and normal termination of the cord at lower L1 level.There is normal signal intensity and morphology of cauda equina.There is no detectable abnormal enhancement of the vertebral column, lower most visualized thoracic cord or the cauda equina.
1.Unremarkable pre and post enhanced cervical MRI.2.Unremarkable pre and post enhanced thoracic MRI.3.Unremarkable pre and post enhanced lumbar MRI.