Female, 7 years old, increased right-sided weakness, low muscle tone, precocious puberty. Recent MRI showed possible abnormality in the upper cervical region. Spinal alignment is anatomic. Vertebral body height and morphology are normal. No evidence of marrow replacement or marrow edema is seen.The visualized spinal cord, conus and cauda equina are unremarkable. No pathologic cord signal abnormality is seen. The conus tip terminates at the L1 level which is normal. The nerve roots of the cauda equina disperse evenly through the thecal sac. No evidence of fatty filum terminale or any intraspinal mass is seen.On postcontrast images, no pathologic paraspinal or marrow enhancement is seen. Likewise, no evidence of abnormal intradural enhancement is detected.At no level is there any significant spinal canal or neuroforaminal stenosis.
Unremarkable evaluation of the spine with no specific findings to account for the patient's symptoms.