Female, 51 years old, with paresthesias, assess for demyelinating disease. Cervical:The spinal cord demonstrates normal signal intensity and morphology throughout. No evidence of any focal lesion is seen. No epidural abnormalities are suspected.The normal lordotic curvature of the cervical spine is straightened, but alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No concerning marrow signal change is seen.Mild disc osteophyte formation is evident at C5-6 and C6-7. The left neural foramina are mildly narrowed at these levels. No other significant spinal canal or foraminal narrowing is seen.Incidental note is made of a Thornwaldt cyst in the midline nasopharynx.Thoracic:The spinal cord demonstrates normal signal intensity and morphology throughout. No evidence of any focal lesion is seen. No epidural abnormalities are suspected.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow signal change is seen.No significant disc bulge or disc herniation is evident. There is no significant compromise of the spinal canal or neural foramina.Lumbar:The conus is normal and terminates at the L1-L2 level. The nerve roots of the cauda equina are distributed evenly through the thecal sac. No epidural abnormalities are observed.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow signal change is seen.At L4-5, there is mild loss of disc T2 signal but preservation of disc height. Minimal generalized disc bulging is seen with a left foraminal annular fissure. No significant spinal canal stenosis is evident, but the neural foramina are mildly narrowed.The remaining disc levels are free of significant bulge or herniation and no other spinal canal or foraminal stenosis is seen.
1.No evidence to suggest any active demyelinating process and the spinal cord.2.No other specific findings are seen to account for the patient's symptoms.