21-year-old woman with history of Chiari malformation and reported history of syrinx, now with worsening symptoms and back pain. The thoracic spine is in normal alignment. The vertebral body and disk heights are well-maintained. There is a subcentimeter T1 and T2 hyperintense lesion consistent with hemangioma involving the T8 vertebral body. A subcentimeter T2 hyper and T1 hypointense lesion in the T10 vertebral body is nonspecific but may represent an atypical hemangioma. The spinal cord is of normal caliber and signal. There is no significant disc disease, spinal canal, or neural foraminal stenosis. The paraspinous soft tissues are within normal limits. Low-lying cerebellar tonsils are partially imaged on the sagittal counting sequence.LUMBAR SPINE
1.No evidence of syrinx in the thoracic cord. 2.Borderline low position of the conus medullaris at L2/L3 without fatty filum or other lesions to suggest cord tethering. Prone images may be considered if clinically warranted.3.Mild central disc protrusion at L5/S1. No significant spinal canal or neural foraminal stenosis at any level. 