Multiple sclerosis [G35], Reason for Study: ^Reason: pleae do dr javed MS protocol compare to priro History: falls, gait disorder Previously seen C2 level (just below the foramen magnum) spinal cord left side T2 high signal intensity lesion is more conspicuous than before. However, the lesion was not seen on sagittal FLAIR or T1-weighted images. The lesion also does not show any evidence of contrast enhancement. The signal characteristics are unchanged since prior scan.There is no other abnormal signal intensity lesion on cervical spinal cord.There is normal cervical lordosis. C2-C3: no neuroforaminal narrowing or spinal stenosis. C3-C4: Central focal protrusion of disc which abuts thecal sac results mild to moderate spinal canal stenosis. Slightly progressed disc protrusion since prior scan, otherwise unremarkable. C4-C5: Diffuse bulging of disc with mild to moderate spinal canal stenosis, unchanged since prior scan. C5-C6: Central focal protrusion of disc which abuts thecal sac, unchanged since piror scan. C6-C7: Mild neural foraminal narrowing on the left side, unchanged since prior scan. C7-T1: Moderate to severe bilateral neuroforaminal stenosis, unchanged since prior scan.
1. Spinal cord lesion consistent with demyelinating disease at the level of C2 is again seen, unchanged since prior scan.2. No other spinal cord lesion is seen.3. Grossly no significant interval change of degenerative lesions of cervical spina as described above.