 Examination is limited to post contrast sequences. Precontrast images were obtained on 1/12/2016. Partially imaged posterior fossa demonstrates prominent enhancement along the surface of the pons, medulla, and cerebellum. There is also abnormal leptomeningeal enhancement involving the surface of the cervical cord and to a lesser degree the thoracic cord. There is minimal if any abnormal enhancement involving the leptomeninges within the lumbar spinal canal.No discrete mass or nodular lesion within the spinal canal is appreciated.There is enhancement involving the lumbar paraspinous soft tissues which is likely related to combination of facet arthropathy, with possible component more superiorly related to recent lumbar punctures.
1. Abnormal leptomeningeal enhancement involving the partially imaged posterior fossa as seen on recent brain MRI studies. There is less prominent leptomeningeal enhancement involving the surfaces of the cervical cord and to an even lesser degree in the thoracic cord. No discrete enhancing nodule or masses are seen within the spinal canal.2. This examination is limited to post contrast sequences only; please refer to recent complete spine without contrast report from 1/12/2016 for additional findings.