Tethered cord follow up post operative, syrinx, mild nonspecific prominence of the ventricles: 6 month follow up. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and configuration. There is a mega cisterna magna with intact cerebrospinal fluid flow across the foramen magnum. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Spine: There are postoperative findings related to tethered cord release surgery. There is no significant interval change in the syringohydromyelia than spans nearly the entire spinal cord, measuring up to approximately 2 mm in width, accounting for differences in technique. The conus medullaris lies the level of T12-L1 and a punctate filar fibrolipoma just inferior to the conus medullaris. The vertebral column alignment is unchanged. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The paravertebral soft tissues are unchanged.
1. Postoperative findings related to tethered cord release surgery without significant interval change in the mild syringohydromyelia than spans nearly the entire spinal cord.2. Unchanged appearance of the conus medullaris and punctate filar fibrolipoma.3. Unchanged appearance of the ventricular system.