Female, 70 years old, with history of spinal meningioma status post lumpectomy and decompression. Evaluate for residual or recurrent tumor. Since the prior examination, acute postoperative findings related to T2-T4 laminectomy and tumor resection have resolved. There is no longer any significant fluid within the operative bed, and only minimal residual edema is seen in the paraspinal soft tissues.Postcontrast images are limited by motion artifact. Given this caveat, the dorsal epidural soft tissues in the operative bed are enhancing compatible with scar. In addition, the right lateral epidural soft tissues at T3 are slightly thickened and enhancing with involvement of the right T3-4 neural foramen. This thickening is similar to that seen on the prior examination and improved when compared to the preoperative study.The previously demonstrated left lateral epidural enhancement at T11-12 is not appreciated on the present examination. However, motion degradation may contribute to this. No other definite intraspinal enhancing lesions are seen. The spinal cord demonstrates normal signal intensity throughout.Spinal alignment is anatomic. Vertebral body height and morphology are grossly unremarkable. Degenerative endplate signal abnormality at T3-4 has perhaps slightly increased. No worrisome marrow signal abnormality is detected. Multilevel disc osteophyte formation is redemonstrated similar to prior. There may be mild associated spinal canal narrowing at T3.
1.Postoperative findings are redemonstrated compatible with laminectomy and tumor resection from the upper thoracic spine. Dorsal epidural soft tissue thickening in the operative bed is likely related to scarring. 2.Thickening in the right lateral epidural space and adjacent neural foramen at T3-4 is similar to the prior postoperative exam and could reflect scarring, residual tumor or a combination of the two. 3.A previously demonstrated area of enhancement within the left lateral epidural space at T11-12 is not appreciated on the current study, though this could be due to motion related image degradation.