 Brain MRI:Redemonstrated is marked dilatation of the lateral ventricles with absence of septum pellucidum. The ventricular sizes are unchanged. The cerebral aqueduct is not visualized, unchanged in appearance. The floor of the third ventricle is thin in some areas, but no clear evidence of a gap or perforation is seen, similar to prior. As before, there is no detectable CSF flow across the floor of the third ventricle. Fluid is again noted in bilateral middle ear cavities and mastoid air cells.Complete spine MRI:There is unchanged cervicothoracic scoliosis and postoperative findings related to lipomeningocele surgery in the lumbar spine. There has been interval near complete resolution of the previously demonstrated long segment syrinx, no longer measurable. The conus medullaris terminates at the L3-4 level, unchanged in position or morphology. There is an unchanged fatty signal intensity of the filum terminalis and fat within the spinal canal extending from L5 inferiorly. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. Upon prone maneuvering, there is no significant interval change in the position of the cauda equina or conus, which may be related to the patient's scoliosis.
1.Unchanged ventricular sizes.2.No CSF flow detected across of the floor of the third ventricle, as demonstrated previously.3.Unchanged cervicothoracic scoliosis.4.There has been interval near complete resolution of the previously demonstrated long segment syrinx, no longer measurable.5.Unchanged conus position and morphology.6.Unchanged fibrofatty filum terminalis and fat within the spinal canal that extends from L5 inferiorly.7.Upon prone maneuvering, there is no significant interval change in the position of the cauda equina or conus, which may be related to the patient's scoliosis.