Multiple sclerosis. Fatigue and numbness, MS protocol There is a subtle focus of T2 hyperintensity and volume loss involving the cervical cord at the left ventral C3 level, seen on the STIR, axial T2, and axial proton density sequences suspected to be related to chronic demyelinating plaque. A second left lateral cord lesion is suspected at C3-C4 which is seen on the sagittal STIR as well as prior 3-D FLAIR brain sequence. Subtle T2 hyperintensity involving the right ventral aspect of the cord C5 level is also suspected which is seen on the sagittal T2, STIR, and axial T2 sequences.Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is grossly maintained aside from mild loss of cervical lordosis. Bone marrow signal is benign. Mild degenerative changes including a small central disc protrusion at C5-C6 as well as a small right paracentral disc extrusion at the C6-C7 level. There is no significant spinal canal or neural foraminal stenosis at any level. There is no abnormal enhancement in the cervical spine.
There are three small cervical cord lesions without enhancement which are favored to represent chronic demyelinating plaques. 