Findings:
The craniocervical junction is normal. The cord and conus are unremarkable, as is the cauda equina. The cord terminates at T12/L1.
Loss of physiological cervical lordosis is noted. A vertebral haemangioma is seen in C6 vertebral body.
Moderate to high-grade disc degeneration is seen in the cervical spine with decreased height and signal intensity of the intervertebral discs.
Broad-based, multilevel disc bulging is seen in the cervical spine without any relevant central canal stenosis or cord compression.
Mild, Modic-2 endplate changes are seen at T7/8 – T9/10. No evidence of any disc herniation or relevant stenosis in the thoracic spine.
Loss of physiological lumbar lordosis is seen.
Previous L5 laminotomy is seen. No evidence of any enhancing intra- or extradural lesions. No pseudomeningocele.
Multilevel Modic-2 endplate changes are noted at L2/3 – L4/5.
Broad-based disc bulging is seen at L1/2 – L4/5 without any relevant stenosis or nerve root impingement.
Mild to moderate osteoarthritis of the facet joints is seen in the lower lumbar spine.
Known tarlov-cyst along the right-sided S2 nerve root with associated bony remodelling.
Post-operative changes are seen in the paraspinal muscles in the lower lumbar spine. No other paravertebral soft tissue abnormality is identified.
Conclusion:
No evidence of residual intrathecal tumour.
Mild to moderate spondylodegenerative changes of the spine without evidence of any disc herniation, stenosis or nerve root impingement.