 Please note lack of contrast significantly limits evaluation for leptomeningeal disease. Within this limitation, no cord signal abnormality or mass within the cervical, thoracic, or lumbar spinal canal is appreciated to suggest drop metastases. Postsurgical changes in the posterior fossa are partially imaged with T2 hyperintensity along the resection cavity not appreciably changed since MRI dated 1/27/2016.Vertebral body heights in the cervical spine are grossly normal aside from minimal endplate deformities affecting the C3-C7 vertebral bodies. No suspicious osseous lesions are demonstrated. Mild degenerative changes are seen with small multilevel disc osteophyte complexes and ligamentum flavum thickening, but without significant spinal canal stenosis or neural foraminal stenosis at any level.In the thoracic spine, there is extensive T2 hyperintensity and mild T1 hyperintensity involving the T7 and T8 vertebral bodies extending into the posterior elements, particularly on the right. Smaller and more T1 hyperintense lesions are seen at the T5 and T6 vertebral bodies and the T12 vertebral bodies most compatible with hemangiomas. No abnormal flow-voids in the spinal canal. Subtle T2 hyperintensity and deformity of the posterior aspect of the cord is noted at the T7-T8 level which may be sequela of prior treatment with possible adhesions in the thecal sac. There is mild narrowing of the right T7-T8 and T8-T9 right-sided neural foraminal narrowing related to bony expansion of the right-sided pedicles. There is otherwise no significant spinal canal or neural foraminal stenosis in the thoracic spine. There is a small Schmorl's node involving the superior endplate of T6 level. Minimal generalized deformity of the thoracic endplates is noted, as in the cervical spine, but without significant overall loss of height at any level. There is evidence of prior laminectomies from T6 to T8.In the lumbar spine and partially imaged pelvis, there also multiple T1 hyperintense lesions most compatible with hemangiomas. Minimal degenerative changes are present without significant spinal canal or neural foraminal stenosis. Vertebral body heights are grossly maintained. Alignment is maintained. There is no significant spinal canal or neural foraminal stenosis at any level.
1. Please note lack of contrast significantly limits assessment of leptomeningeal disease and postcontrast sequences should be considered as clinically indicated. No obvious nodularity along the surface of the cord or cauda equina to suggest drop metastases. There are also no intramedullary or epidural masses.2. Evidence of multiple hemangiomas in the spine and visualized pelvis. There are particularly large T2 hyperintense lesions involving the T7 and T8 vertebral bodies with mild osseous expansion and extension into the posterior elements. These would be compatible with more vascular/aggressive hemangiomas/venous malformations but suggest comparison with prior imaging and pathology if available. There is evidence of prior T6-T8 laminectomies. Subtle cord signal abnormality and dorsal cord deformity at the T7-T8 level may be related to myelomalacia and adhesions in the thecal sac.