Female, 14 years old, with history of bilateral arm and leg paresis and sensory changes. Evaluate for spinal cord abnormality. Cervical:Slight retroflexion of the dens is noted, likely an anatomic variation. Cervical spinal alignment is otherwise unremarkable. Vertebral body height and morphology are normal. No concerning marrow signal replacement or edema is seen.The spinal cord shows normal morphology and is free of any concerning signal abnormality. No evidence of any pathologic epidural soft tissue or fluid is demonstrated.The intervertebral discs are normal. No spinal canal or neuroforaminal stenosis is evident.Thoracic:Thoracic alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow signal replacement or edema is seen.The spinal cord shows normal morphology and is free of any concerning signal abnormality. The position of the conus tip is not visualized on this examination. No evidence of any pathologic epidural soft tissue or fluid is demonstrated.The intervertebral discs are normal. No spinal canal or neuroforaminal stenosis is evident.
No abnormalities of the spinal cord or bony spine are seen to account for the patient's symptoms.