Clinical question: 16 year old with history of mediastinal lymphoma and extradural soft tissue mass at T5-T6. 11 month of therapy. Signs and symptoms: Evaluate disease status. Pre- and post enhanced complete spine MRI:Evaluation of cervical spine demonstrate normal signal intensity and alignment of vertebral column without detectable abnormal enhancement.There is normal signal intensity and caliber the cervical cord and without detectable abnormal enhancement.No evidence of spinal stenosis or neural foraminal compromise.Evaluation of the thoracic spine demonstrate normal signal intensity and alignment of vertebral column without enhancement.Normal signal intensity and caliber of the thoracic cord without abnormal enhancement.No spinal stenosis or neural foraminal compromise is detected.Examination of the lumbosacral spine demonstrate normal signal intensity and alignment of vertebral column without abnormal enhancement.Unremarkable signal intensity of the lower most visualized thoracic cord, conus and cauda equina without abnormal enhancement.No spinal stenosis or neural foraminal compromise is detected.
Unremarkable pre and post enhanced MRI of total spine without evidence of recurrence or residual epidural mass.