Other myelitis [G04.89], Reason for Study: ^Reason: ?MS History: R arm pain Brain MRI:No evidence of acute ischemic or hemorrhagic lesion on the scan.No evidence of abnormal enhancement.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.C-Spine:There is ill defined somewhat patchy high signal intensity on the cervical spinal cord around C2 level on T2 weighted and STIR image. However, the lesion was not seen on either axial T2 weighted image. Thus, the lesion could represent an artifact or subtle spinal cord lesion such as demyelination lesion. Follow up scan might be necessary if clinically indicated. Patchy and ill defined high signal intensity lesion on sagittal FLAIR images at the level of C3 to C5 is most likely artifacts since those lesions are not appreciable on T2 weighted images or gradient echo images.There is normal cervical lordosis. The cranial-cervical junction is normal. On Gad enhancement, there is no evidence of abnormal enhancement.Degenerative changes are as follows;C23: within normal limitsC34: disc dessication. Otherwise unremarkable.C45: disc dessication. Diffuse bulging of disc which abuts thecal sac. C56: within normal limits.C67: within normal limits.
1. Normal brain MRI2. Subtle patchy high signal intensity on T2 weighted image at the level of C2 could represent either an artifact or subtle demyelination lesion. Follow up scan can be considered if clinically indicated.3. Diffuse disc bulging at the level of C56 as described above.4. No evidence of neuroforaminal narrowing of spinal stenosis.