Clinical question: 4-year-old female with recurrent parenchymal, status post resection x2. Signs and symptoms: Slight growth on previous MRI scan. Pre and post enhanced thoracic MRI:Examination redemonstrates a small focus of enhancement on the thoracic cord at T8 level. The finding measures approximately 11 mm craniocephalad axis compared to prior study measurement of 8 mm. And T1 weighted images there is a focus of hyperintensity within the cord at this level which may represent mineralization. This finding although was not appreciated on immediate prior exam it was however present on earlier study from 12-20 2-14.Stable extensive postoperative changes of multilevel posterior laminectomies, extensive myelomalacia of the cord and highly suspected cord adhesion since prior exam.There is no detectable additional foci of abnormal enhancement of the cord or the visualized cauda equina.
1.Small focus of enhancement within the cord at T8 level measuring 11 mm in craniocephalad axis compared to prior study measurement of 8 mm. A small focus of mineralization at this site although was not well appreciated on the immediate prior exam it was noted on earlier study from December 2014.2.Stable postoperative changes of prior laminectomy and including myelomalacia and cord adhesion as detailed.