Neurofibromatosis type II. Left-sided weakness. The study is slightly technically limited related to body habitus.Cervical Spine:Alignment is notable for mild reversal of normal lordosis. Vertebral body height is preserved as well as the marrow signal. The spinal canal is preserved. The disc heights are preserved but there is mild loss of T2 signal from C2-C3 through C6-C7. The cervical spinal cord shows normal morphology and signal. Following contrast injection, there is no abnormal contrast enhancement. Included brain stem and lower cerebellum also show no abnormality.C2-C3: There is no spinal canal or foraminal stenosis.C3-C4: There is no spinal canal or foraminal stenosis.C4-C5: There is no spinal canal or foraminal stenosis.C5-C6: There is no spinal canal or foraminal stenosis.C6-C7: There is no spinal canal or foraminal stenosis.C7-T1: There is no spinal canal or foraminal stenosis.Small lymph nodes are present on both sides of the neck though more numerous in the left lower neck. None is enlarged by size criteria.Thoracic Spine:There is straightening of the lower thoracic spine. There is slight anterior height loss at T7 vertebral body similar to prior which may be congenital or less likely mild chronic compression deformity. No associated edema. The discs are notable for variable loss of T2 signal. There is also loss of the anterior height of the disc at T11-T12 associated with small intravertebral herniation/Schmorl's node into T12 vertebral body and present previously. There is ligamentum flavum thickening/calcification at the T11-T12 level. The spinal canal is preserved. There is no thecal sac compression. The spinal cord is normal in morphology and signal. There is also no significant foraminal stenosis.Lumbosacral Spine:Alignment is anatomic. Vertebral morphology is normal. Marrow signal shows no suspicious focality. Poorly defined contrast enhancement in the posterior L3 vertebral body at midline is likely related to the basivertebral vessels. There is moderate T2 signal and minimal height loss at the L4-L5 disc. The spinal canal is preserved. The neural foramina are preserved as well. The conus medullaris tip is lower than usual, at L2-L3. There is no abnormal contrast enhancement along the conus or the nerve roots. T12-L1: There is no spinal canal or foraminal stenosis.L1-L2: There is no spinal canal or foraminal stenosis.L2-L3: There is no spinal canal or foraminal stenosis.L3-L4: There is no spinal canal or foraminal stenosis.L4-L5: Disc bulge with a small central protrusion but no significant spinal or foraminal narrowing.L5-S1: There is no spinal canal or foraminal stenosis.
1.No findings to suggest neoplasm in the cervical, thoracic, or lumbar spine.2.No significant spinal canal stenosis at any level.3.Borderline low conus at L2-3. No fatty filum or other associated spinal canal lesions. Finding is nonspecific; correlate for any clinical signs of tethered cord.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.