Pain, unspecified [R52] / Slow transit constipation [K59.01] / Urgency of urination [R39.15] / Multiple sclerosis [G35], Reason for Study: ^Reason: thoracic cord mass? History: has MS New R T10 pain and UTI and ascending slowly progressing sensory loss of right leg. There is no evidence of abnormal signal intensity on thoracic spinal cord.The extruded T10-T11 disc central to left and inferior direction compresses thecal sac and spinal cord. However, there is no evidence of spinal cord signal changes.Comparing to prior scan, the extent of disc extrusion and the degree of thecal sac compression do not show any significant interval change. At the level of T9-T10, there is focal disc protrusion which abuts thecal sac, unchanged since prior scan.At the level of L23, there is diffuse bulging of disc which abuts thecal sac. No evidence of spinal stenosis is seen, unchanged since prior scan.There is normal thoracic kyphosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The conus medullaris terminates at the T12-L1 level.
1. No evidence of abnormal signal intensity on spinal cord.2. Left paracentral disc extrusion at the level of T10-11 which compresses thecal sac and spinal cord, unchanged since prior scan.3. Degenerative changes of T9-10 and L23, unchanged since prior scan.