Female, 53 years old, with history of thoracic meningioma status post resection related to von Hippel-Lindau. Brain:A few scattered foci of T2 hyperintensity are demonstrated, nonspecific and unchanged. No edema or mass effect is detected. No pathologic enhancement is seen. There are no findings to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collection. Ventricles are normal in size and morphology. Scattered defects of the soft tissue scalp are seen, primarily on the right, which are unchanged and perhaps related to prior surgery.Spine:Postoperative findings compatible with laminectomy are redemonstrated from T9 through T12. The spinal cord through the operative region remains thinned and deformed, particularly at the T10 level where the posterior cord appears to be splayed or perhaps cystic. Findings are unchanged. No pathologic spinal cord enhancement is seen in the operative region or elsewhere.Trace anterolisthesis of C2 on C3 is redemonstrated. Otherwise, spinal alignment is anatomic. Vertebral body heights are preserved. No concerning marrow replacement, edema or enhancement is observed. Mild degenerative findings in the lumbar spine are unchanged. No high-grade spinal canal stenosis is seen, though the neural foramina at L5-S1 are moderately narrowed. Small renal cysts are demonstrated.
1.No significant intracranial abnormalities are identified.2.Postoperative findings are redemonstrated in the lower thoracic spine. Thinning and deformity of the spinal cord through the operative region is unchanged. No evidence of any pathologic spinal cord enhancement is seen.3.Mild degenerative disease in the lumbar spine is unchanged. No significant osseous spinal lesions are detected.