46 yo female with idiopathic scoliosis and cafe au lait macule. Evaluate for spinal cord abnormality. There is levocurvature of the upper thoracic spine with apex at the T3-4 level and dextrocurvature of the lower thoracic spine with apex at the T10-T11 level. No focal osseous lesions are appreciated. Bone marrow signal is benign with endplate marrow changes related to degenerative disease at the T10-T11 and T11-T12 level.Vertebral body heights are maintained without compression fractures. There is no abnormal signal or syrinx involving the thoracic cord although patient's body habitus makes evaluation difficult. There are prominent left lateral osteophytes in the lower thoracic spine. There is advanced left sided facet arthropathy at the T11-T12 level on the left and to a lesser degree at left T10-T11. There is mild impression on the left lateral aspect of the thoracic cord at T11-T12 related to ligamentum flavum thickening and advanced facet arthropathy. No significant spinal canal stenosis is otherwise appreciated. There is moderate narrowing of the left-sided neural foramina from T9-T10 to T11-T12.
1. Levocurvature of the upper thoracic spine with apex at the T3-4 level and dextrocurvature of the lower thoracic spine with apex at the T10-T11 level as seen on recent radiographs. 2. Associated degenerative changes particularly at the left T11-T12 level where there is significant left-sided facet arthropathy and ligamentum flavum thickening and mild impression on the left lateral aspect of the thoracic cord at this level. 3. No cord signal abnormality within the thoracic spine is appreciated. No high-grade stenosis. No other structural lesions are appreciated.