Incontinence and diplopia. Suspicion of multiple sclerosis. CERVICAL SPINE:Sagittal alignment is notable for reversal of the normal lordosis and 2 mm of anterior subluxation of C4 relative to C5. The vertebral bodies are preserved in height. In addition to multilevel disc desiccation, there is mild degenerative disc height loss and endplate irregularity at C5-C6 and C6-C7 associated with small disc-osteophyte complexes resulting in mild spinal canal stenosis. Degenerative changes are associated with minimal subjacent marrow degenerative signal but there is no suspicious bone marrow lesion. Right more than left left uncovertebral and facet arthropathy at C5-C6 and C6-C7 result in mild-to-moderate right and mild left neural foraminal stenoses. The spinal canal and neural foramina are otherwise unremarkable. The spinal cord is normal in morphology. There is no definite spinal cord signal abnormality. Following intravenous contrast injection, there is no abnormal spinal cord or leptomeningeal enhancement.The brain T2-hyperintense lesions are better assessed on the previous brain examination.THORACIC SPINE:Sagittal alignment is anatomic, the vertebral bodies are preserved in height and there is no suspicious marrow lesion. Fat intensity lesions in the left side of T2, T4 and T12 vertebral bodies compatible with hemangiomas. There is no significant degenerative disc disease and the spinal canal is preserved. The thoracic spinal cord and the conus medullaris are unremarkable. The tip of the conus medullaris lies at the lower L1 level. Following intravenous contrast injection, there is no abnormal spinal cord, leptomeningeal or nerve root contrast enhancement.Dependent pulmonary heterogeneity and contrast enhancement is probably reflective of minimal atelectasis.
1.Cervical spine: There is no appreciable signal abnormality in the cervical cord or abnormal enhancement. Relatively mild degenerative disease at C5-C6 and C6-C7 as described above.2.Thoracic spine: No appreciable cord signal abnormality or enhancement in the thoracic cord. No evidence of demyelinating disease in the cord. 