46-year-old male with sensory level, evaluate spinal known thoracic lipoma. CERVICAL SPINE: The vertebral body heights and disc are normal. Straightening of the cervical spine, otherwise no abnormal alignment. No abnormal marrow signal or enhancement. There is mild edema within the lower cervical cord as described below. At C5-C6, there is mild left foramen disc osteophyte complex effacing the left lateral recess with associated mild left neural foramen narrowing and mild effacement of the left thecal sac. At C6-C7, there is mild disc osteophyte complex without significant spinal or neuroforamen stenosis. THORACIC SPINE: There is a nonenhancing intramedullary lesion with fat signal characteristics extending from the level of the inferior aspect of T1 to the superior aspect of T3, which measures 1.6 x 1.2 x 3.3 cm. There is expansion of the cord with edema at this level extending superiorly and inferiorly from the lesion. The central canal is mildly dilated superiorly. The alignment of the thoracic spine is normal and there is no significant spinal canal or neural foramen stenosis throughout the thoracic spine.LUMBAR SPINE: The alignment is anatomic and the vertebral body heights are intact. There is minimal disc desiccation of L3-L4 and L4-L5. No abnormal marrow signal. No abnormal signal within the cord or conus, and T12-L1. There is no significant herniation, or spinal canal or neural foramen stenosis throughout the lumbar spine.
1. Intramedullary lipoma in the upper thoracic spinal cord with associated edema.2. Multilevel degenerative cervical spondylosis that is most pronounced at C5-C6 associated with mild left neural foramen and spinal canal narrowing. 