Chiari malformation, evaluate for syrinx or tethered cord. Torticollis, headaches. There are 7 cervical, 12 thoracic, and 5 lumbar type vertebral bodies.Thoracic:Examination is slightly motion degraded. Thoracic cord appears normal in signal and contour. No evidence of syrinx. Thoracic vertebral body heights are maintained. Alignment is maintained. No significant spinal canal or neural foraminal stenosis is seen. Bone marrow signal is appropriate for age with no suspicious lesions. Lumbar:Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is appropriate for age. The conus medullaris is normal in position at the mid L1 level.No evidence of filar lipoma or other masses in the spinal canal along the filum or cauda equina. There is appropriate anterior motion of the conus in the prone sequence.Paraspinous soft tissues are within normal limits. Distended urinary bladder and mild prominence of the ureters and renal pelvis, which can be better assessed with post voiding ultrasound as clinically indicated.
1. No evidence of tethered cord. Conus is in normal position with no lipoma or other masses within the spinal canal. Unremarkable thoracic cord without evidence of syrinx.2. Distended urinary bladder and mild prominence of the ureters and renal pelvis, which may be related to the distended bladder. Finding can be better assessed with post voiding ultrasound as clinically indicated.