16 years Male (DOB:11/10/1999)Reason: chiari malformation, syrinx , follow up syrinx evaluate for changes History: syrinx , follow upPROVIDER/ATTENDING NAME: DAVID M. FRIM DAVID M. FRIM MRI thoracic spine:There is central cord T2 signal hyperintensity present identified on the scout views in the cervical spine extending from the C3-4 disc space level down to C6-7 level which has a diameter of approximately 6 mm in the AP dimension. Some the axial imaging extends bottom of the cervical cord or the width is approximately 9 mm.. It measures approximately 5.5 cm in length. It is not imaged adequately on this exam. Additionally there appears to be a Chiari I malformation with pointed cerebellar tonsils which extend approximately 5 mm below the level of foramen magnum but not adequately imaged on this examThe thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. At T5-6 there is a disc bulge present at. At T6-7 there is a right paramedian disc protrusion presentLumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There is central cord T2 hyperintensity in the cervical spinal cord. One possibility is that this represents a syrinx. It is only seen on the scout images. An MRI of the cervical spine help further evaluate this.2.Findings there is a question of a Chiari I malformation. If clinically appropriate MRI of the cervical spine may be of further benefit in evaluating this.3.There are mild disc degenerative changes present in the thoracic spine and lumbar spine.