Paresthesias. Evaluate for demyelinating disease. There are foci of T2 hyperintensity involving the right dorsal cord at C6-7 and medial dorsal cord at C7-T1. There is an additional, more subtle area of T2 hyperintensity involving the dorsal midline cord at C2. On the sagittal images, there is also subtle signal abnormality involving the T2 level. The cord volume appears maintained. The craniocervical junction is normal. There is kyphotic angulation of the cervical spine at C4-5. The vertebral body heights are preserved. Bone marrow signal is benign. There is disc desiccation from C2 to C5, consistent with disc dessication. There is no spinal canal or neural foraminal stenosis. The paraspinal soft tissues are unremarkable.
Multiple small lesions in the cervical and partially imaged upper thoracic cord are highly suspicious for demyelinating disease. No comparison studies are available.