40 years, Male, positive Lhermitte's sign. Evaluate for cervical lesion, MS or myelopathy. Brain:MRI of the brain is within normal limits for age. Specifically, no lesions to suggest demyelinating disease are appreciated. No abnormal signal in the midbrain or pons is seen. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved. Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits. Cervical Spine:There is no abnormal signal in the cervical cord. Cord caliber and contour is within normal limits. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. There is a small central disc protrusion at the C5-C6 level which contacts the ventral aspect of the cord. There is no significant spinal canal stenosis at this level. Remainder of the spinal canal and cervical neural foramina are patent. Paraspinous soft tissues are unremarkable.
1. Brain MRI appears within normal limits. Specifically, no findings to suggest demyelinating disease are appreciated.2. Cervical cord demonstrates no lesions to suggest demyelinating disease. There is a small disc protrusion at the C5-C6 level which contacts the ventral cord without significant mass effect or cord signal abnormality. Spinal canal is otherwise patent.