Spastic diplegic cerebral palsy. Syringomyelia and syringobulbia. There is transitional lumbosacral anatomy, with partial lumbarization of S1 vertebra. For purposes of this exam, the last fully formed disc is at L5-S1 with a rudimentary disc at S1-S2. The last rib-bearing vertebra is designated as T11.There is abnormal mildly expansile CSF signal intensity within the center of the cord extending from C4-C5 down to C7-T1 has not changed and is not associated with abnormal contrast enhancement. This measures up to 7 x 7 mm in greatest axial dimensions at the C6-7 level. The additional area of expansile central cord CSF intensity extending from T3-T4 down to T7-T8 is also unchanged and without abnormal contrast enhancement. It measures transaxially up to 7 x 8 mm at the mid T5 level. There is an unchanged single septation within the lower intramedullary abnormality at the approximate T5-T6 level. The urinary bladder is not as distended as on the previous examination. There is resolution of the right and significant improvement of the left urinary pelvic and calyceal dilatation.
1.Syringohydromyelia throughout the majority of the cervical and thoracic cord, most conspicuous at the lower cervical and mid thoracic levels, measuring up to 7 x 8 mm, remains unchanged. There is no associated abnormal contrast enhancement.2.Improved but not completely resolved left hydronephrosis.