Neck pain, right arm tingles, has MS. There are few small T2 hyperintense lesions involving the cervical cord including the left lateral aspect of the cervicomedullary junction, right dorsolateral C2-C3 level, right dorsolateral C3-C4 level, as well as one at the left lateral C5-C6 level which is also associated with some volume loss. No large lesions are demonstrated. The above lesions are best seen on the axial T2* smFFE as well as proton density sequences. Vertebral body heights are normal. There is mild loss of cervical lordosis. Mild degenerative changes are seen including small central protrusion at the C3-C4 level and a small disc bulge at the C5-C6 level. There is no significant spinal canal stenosis at any level. The cervical neural foramina are also patent.
Multiple small lesions are suspected in the cervical cord as described above and compatible with demyelinating plaques. No lesions with enhancement.