 A significant portion of the exam is motion degraded, and multiple repeated sequences were attempted. Given this caveat:The extent of the patient's scoliosis is better demonstrated on previous x-ray.Cervical spine:Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervical cord is normal in signal. The visualized paraspinal contents are unremarkable. There are no degenerative changes or stenoses.The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. Biphasic CSF flow is noted posteriorly at the level of the cerebellar tonsils.Thoracic spine:The vertebral body heights and disc spaces are maintained. Marrow signal intensity is benign throughout. The spinal cord has a smooth contour and is without focal atrophy, edema, or myelomalacia. There are no stenoses.Lumbar spine:There are no fractures. The marrow signal is benign. The visualized intra-abdominal and paraspinal contents are unremarkable. There are no stenoses.The conus is normal in signal and morphology and terminates at L1/2. Upon prone positioning, the conus and cauda minimally translate anteriorly. However, this is often the observation in patients with significant scoliosis.
1.No Chiari malformation.2.No syrinx.3.No MRI evidence of tethered cord.