Right lower extremity weakness, concern for cord compression. History of type B AAA s/p TEVAR with Nitinol Graft. The exam is limited by artifacts, such that the spinal cord is not well-delineated and apparent high T2 signal in the conus medullaris may be artifactual. However, there does not appear to be extrinsic compromise of the spinal cord. The vertebral bodies are appropriate in the overall alignment and height. The known aortic dissection is partially imaged.
1. Assessment of the spinal cord is limited and therefore a subtle spinal cord infarct cannot be excluded. If clinically warranted, repeat imaging of the spinal cord including diffusion weighted sequences may be useful. Nevertheless, no extrinsic compression of the spinal cord is apparent.2. The known aortic dissection is partially imaged. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.