Clinical question: please do dr Javed protocol, MS progressionSigns and Symptoms: MS progression There is a T2 hyperintense focus present within the thoracic spinal cord at the T10-T11 level located along the midline and posterior aspect of the thoracic spinal cord. There is a questionable lesion within the thoracic spinal cord at the T8-9 level. There is no associated contrast enhancement with these lesions.The thoracic vertebral bodies are appropriate in the overall alignment and height. There is no compromise of thoracic spinal canal or exiting nerve roots. No abnormal enhancing lesions are identified in the thoracic spine. There is no associated mass effect or cord enlargement.
A couple lesions are present within the distal thoracic spinal cord which are suspicious for demyelination.