Chiari malformation decompression, s/p 3 month follow up. Brain: There are postoperative findings related to Chiari decompression. The inferior cerebellum extends to the inferior tip of the clivus. CSF flow is present across the anterior and posterior aspects of the neo-foramen magnum. There is no evidence of intracranial hemorrhage or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is a cystic pineal gland that measures up to 7 mm. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits and paranasal sinuses appear unremarkable.Cervical Spine: There is slight straightening of the vertebral column alignment in the sagittal plane. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. Aside from the expected postoperative findings, the paravertebral soft tissues are unremarkable.
Expect postoperative findings related to Chiari decompression without evidence of pseudomeningocele, hydrocephalus, or syringohydromyelia.