Clinical question: Evaluate for MS progression. Signs and symptoms: Left leg and arm numbness Pre-and post-enhanced cervical MRI:Examination is performed utilizing Dr, Javed's dedicated multiple sclerosis protocol.Examination demonstrates stable multiple small demyelinating plaques primarily in the upper cervical spine with out detectable abnormal enhancement or interval progression since prior study. The caliber of the cervical cord remains within normal and stable since prior study.The signal intensity and the alignment of vertebral column remains within normal. No appreciable degenerative changes, neural foraminal or central spinal stenosis is identified.
1.Stable chronic demyelinating disease of the cervical spinal cord as detailed.2.No detectable signal abnormality or enhancement of the uppermost visualized thoracic cord at T4 level.3.No spinal stenosis or neural foraminal compromise.