32 years Female (DOB:7/11/1983)Reason: assess for MS plaques History: MS PROVIDER/ATTENDING NAME: RIMAS V. LUKAS RIMAS V. LUKAS Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. There is a 5 mm x 11 mm sagittal dimension T2 hyperintense lesion along the posterior and central aspect of the spinal cord at the C6 vertebral body level. There is no mass effect associated with this.No abnormal enhancing lesions are appreciated in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. There is no compromise of thoracic spinal canal or exiting nerve roots. There are T2 hyperintense lesions present within the central portion of the spinal cord at the T7 and T8 vertebral levels as well as the left posterior lateral aspect of the spinal cord at the T11 level and T10 level. There is no associated mass effect with these lesions.There is a heterogeneous T1 signal lesion within the left half of the T8 vertebral body which is bright on T2 and enhances following contrast administration. It measures 12 x 9 mm sagittal dimensions.
1.There are multiple lesions within the lower cervical and lower thoracic spinal cord (as detailed above) which are compatible with demyelinating disorder.2.At T8 vertebral body lesion is suspected to represent an atypical hemangioma. This can be confirmed by CT scan.