Male, 73 years old, with burning sensation in the buttocks, evaluate for possible syrinx in the lower thoracic area. Prominence of the central canal of the spinal cord is seen affecting much of the thoracic spinal cord albeit discontiguously. The canal becomes most prominent at the T10 level where it measures 2 x 1 mm in the axial plane. The spinal cord is otherwise unremarkable. No epidural abnormalities are suspected.There is a scoliotic curvature of the thoracic spine. Sagittal alignment, however, is within normal limits. Vertebral body heights are preserved. A few scattered Schmorl's nodes are seen. No pathologic marrow replacement or marrow edema is detected. Very mild disc degenerative findings are seen. No significant spinal canal or foraminal stenosis is evident.
The central canal of the spinal cord is discontinuously prominent through much of the thoracic region, potentially representing syringohydromyelia. No other specific abnormalities are detected which would account for the patient's symptoms.