Male, 33 years old, with paresthesias and white matter changes on MRI of the brain. Evaluate for demyelinating disease. Cervical:No focal spinal cord signal abnormality is seen. No pathologic enhancement of the cord or osseous structures is detected. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow replacement or edema is seen. A small disc protrusion is present at C5-6 without significant spinal canal stenosis. The remaining intervertebral discs are preserved. No significant compromise of the spinal canal or neural foramina is seen.Thoracic:No focal spinal cord signal abnormality is seen. No pathologic enhancement the cord is detected. A focus of signal abnormality and enhancement within the left T9 pars interarticularis, and a larger area within the right posterior T11 vertebral body, are favored to represent benign hemangiomas. Otherwise, vertebral body morphology and signal characteristics are within normal limits. Spinal alignment is anatomic. A left paracentral disc protrusion at T5-6 may very slightly impinge upon the spinal cord. No significant spinal canal or foraminal stenosis is observed.Lumbar:Assuming rudimentary ribs at the T12 vertebral body, there are four fully lumbar type vertebral bodies and a transitional S1.No evidence of pathologic intrathecal enhancement is seen. The distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are suspected.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. Mild degenerative endplate signal change and enhancement are seen at L3-4. Otherwise, no pathologic marrow space signal abnormality is detected.At L3-4, there is facet arthropathy, disc bulging and a mild central disc protrusion. No significant spinal canal stenosis is seen. The neural foramina are mildly narrowed.At L4-5, there is facet arthropathy, disc bulging and a small superimposed central protrusion. No significant spinal canal stenosis is seen. The neural foramina are mildly narrowed.
1.No evidence of demyelinating disease is seen within the spinal cord.2.Scattered mild degenerative findings are noted as above.