37 years Male (DOB:7/22/1978)Reason: evaluate for progression of NMO History: tingling of the feet bilaterally PROVIDER/ATTENDING NAME: DAVID A HARTER RIMAS V LUKAS MRI thoracic spine:An enhancing T2 hyperintense lesion is present within the thoracic spinal cord. The T2 hyperintensity extends from the T1-T2 level to the T6 vertebral level. The enhancing component extends from the T2-3 disc space level to the T4-5 disc space level. It is located centrally within the spinal cord.The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. There is disc desiccation at T7-8 and T8-9.Sagittal images of the cervical spine demonstrate a broad-based central disc protrusion at C3-4.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.No abnormal enhancing lesions are appreciated in the lumbar spine.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There is enhancing lesion present within the central portion of the upper thoracic spinal cord with adjacent edema. There are no other lesions appreciated within the spinal cord. Differential considerations include neoplasm and inflammatory lesion. Given the clinical history of NMO demyelinating plaque is certainly in the differential diagnosis.