26-year-old female with history of prior meningioma resection, placement of spinal instrumentation, and now more recently hardware removal. Patient now presents with back pain. Thoracic: Compared to prior MRI from 7/23/2015, thoracic fusion hardware has been removed. Redemonstrated is an extra-axial mass located at a T6-7 vertebral body level along the right posterior lateral aspect of the spinal canal which measures 5 x 10 mm in the axial plane and up to 19 mm in the craniocaudal dimension. This mass is not significantly changed since 7/23/2015 but demonstrates slight gradual enlargement when compared to more remote studies dating back to 6/5/2012. Associated calcifications better demonstrated on prior CT. As before, the mass contacts the thoracic cord without evidence of frank cord compression.There is focal dural thickening along the lateral aspects of the thecal sac at the T9-T10 level, which was present previously on the left but is new on the right, and much of it likely represents granulation tissue. Redemonstrated is an additional small focus of dural thickening along the left anterolateral thecal sac at the T10-T11 level measuring 4 x 7.5 mm in the axial plane and up to 12 mm in the craniocaudal dimension, grossly similar to prior although not well imaged on prior study due to presence of hardware. Focal T2 hyperintensity within the spinal cord at T10 with associated volume loss is not significantly changed and consistent with myomalacia. There remains deformity of the left anterolateral aspect of the cord with mild flattening from approximately the T7-T8 level to the T10-T11 levels which is suspected to be related to adhesions in the thecal sac but not significantly changed since prior. Dorsal epidural thickening with mild effacement of the dorsal thecal sac at the site of prior surgeries is compatible with granulation tissue and is not associated with mass effect. No evidence of high-grade spinal canal stenosis at any level. Neural foramina are also patent. The thoracic vertebral bodies are appropriate in the overall alignment and height. Lumbar: Vertebral body heights and alignment in the lumbar spine are normal. Alignment is normal. Bone marrow signal is benign. No significant disc disease. There is no significant spinal canal or neural foraminal stenosis in the lumbar spine. Lumbar paraspinous soft tissues are unremarkable. No abnormal enhancement.
1.Interval removal of thoracic spinal fusion hardware. There is no significant change in extra-axial mass likely representing a calcified meningioma at the T6-7 level compared to 7/23/2015. There is evidence of slight enlargement when compared to remote studies dating back to 2012.2.Again seen is dural thickening along the lateral aspects of the thecal sac at the T9-T10 level which was present on the left previously, but appears new on the right, and much of it likely represents granulation tissue. Small residual meningioma remains a possibility. No significant mass effect on the cord.3.No significant change in additional nodular focus of dural thickening along the left anterolateral thecal sac at the T10-T11 level which may also represent minimal residual meningioma. No significant mass effect on the cord.4.No change in T2 signal hyperintensity in the thoracic cord at the T10 level likely representing myelomalacia. Mild deformity of the left anterolateral aspect of the cord from approximately the T7-T8 level to the T10-T11 levels is suspected to be related to adhesions in the thecal sac and also not significantly changed since prior. 5. Lumbar spine MRI is unremarkable.