• The images are somewhat degraded by patient movement. There is a Chiari I malformation and also a cervical syrinx which is expanding the cord and extends from the C3-C4 disc level down to C7. There is further lobular expansion of the central canal of the cord in the upper thoracic region, but the remainder of the cord appears normal and the conus terminates normally.
• There is no appreciable intraspinal, paraspinal or pre-sacral soft tissue mass demonstrated, and apart from the deformity the spinal column appears intact with no vertebral, disc or neural arch lesion identified.
• Conclusion: Chiari I malformation with a cervical syrinx.