Re-evaluate tethered release: numbness and weakness lower extremities. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Spine: There are postoperative findings related to tethered cord release. The conus medullaris remains positioned at T12 -L1. Motion of the spinal cord cannot be assessed since the prone images are degraded by artifact. There is an unchanged punctate focus of T1 hyperintensity that looses signal with fat suppression along the filum terminale at the L1 level. There is no abnormal enhancement within the spinal canal. There are unchanged mild T12 and L3 superior endplate defects that may represent Schmorl's node formation. The vertebral body heights are otherwise preserved. The vertebral column alignment is within normal limits. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Postoperative findings related to tethered cord release with unchanged appearance and position of the conus medullaris and a punctate filum terminale fibrolipoma.