36 years Female (DOB:8/16/1979)Reason: eval for demyelinating disease History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED Cervical spine:There is a T2 hyperintense lesion present along the right hemicord at the C2 vertebral body level which measures 14 x 4 mm sagittal dimensions. There is a T2 hyperintense lesion present along the posterior aspect of the cervical spinal cord at the C3 vertebral level measuring 14 x 7 mm sagittal dimensions. There is a T2 hyperintense lesion along the left posterior lateral spinal cord at the C5-6 level measuring 12 x 3 mm sagittal dimensions. There is a right hemicord lesion at the C7 vertebral body level measuring 10 x 4 mm sagittal dimensionsThe cervical vertebral bodies are appropriate in overall alignment and height. At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. There is a 5 mm right hemicord lesion at the T2 vertebral level there is a 11 mm and present spinal cord at the level of the conus medullaris at the T12 vertebral level. There are patchy lesions present in the thoracic spinal cord at the T10 and T11 levels.
1.There are multiple lesions scattered in the cervical and thoracic spinal cord which are compatible with demyelinating disorder as detailed above.