Evaluate for Chiari malformation, syrinx, tethered cord: scoliosis. There is upper thoracic levoscoliosis, thoracolumbar dextro scoliosis and lower lumbar levocurvature, but no spondylolisthesis. The spinal cord displays normal signal and morphology. The conus medullaris is positioned at the L1-2 level and shifts in position between prone and supine imaging. There is no evidence of fibrofatty filum. The cerebellar tonsils extend up to 5 mm inferior to the foramen magnum. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable.
1. Upper thoracic levoscoliosis, thoracolumbar dextro scoliosis and lower lumbar levocurvature. 2. Mildly low-lying cerebellar tonsils without syringohydromyelia. 3. The conus medullaris is positioned at the L1-2 level and there is no evidence of fibrofatty filum.