Transverse myelitis There is signal abnormality on the STIR sequence extending throughout the cervical cord which is less apparent than on remote study from 6/19/2010, when it also demonstrated enhancement. There is also suspected abnormal T2 hyperintensity involving the thoracic cord at the T9-T10 level, without prior thoracic spine MRI available for comparison. Degenerative changes are evident at the L4-L5 level with disc height loss, bulge, and mild bilateral neural foraminal narrowing. Vertebral body heights and alignment are grossly maintained. There is mild diffuse narrowing of the cervical spinal canal. There is no evidence of cord compression or significant spinal canal stenosis in the cervical, thoracic, or lumbar spine.
1. Please note this examination is limited to sequences per cord compression protocol. There is no evidence of cord compression or high-grade stenosis in the cervical, thoracic, or lumbar spine.2. Extensive signal abnormality throughout the cervical cord appears less prominent than prior cervical spine MRI from 2010, when it also demonstrate enhancement. Abnormal signal in the lower thoracic cord is also suspected. If there is suspicion for recurrence of transverse myelitis, suggest dedicated cervical and thoracic spine MRI with gadolinium.