Unqualified visual loss, one eye. Optic neuritis, Sensory disturbance, of limbs, in past Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. There is straightening of the normal cervical curvature. There is multilevel disk dessication present.There is a 7mm T2 hyperintense lesion along the posterior aspect of the spinal cord a the C2 vertebral level.There is a 4mm T2 hyperintense lesion along the posterior aspect of the spinal cord a the C3-4 disk space level.No abnormal enhancing lesions are appreciated in the cervical spine.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. There is a minor disk bulge at this level.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a minor disk bulge at this level.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is a minor disk bulge at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a minor disk bulge at this level.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. There is no compromise of thoracic spinal canal or exiting nerve roots. There are T2 hyperintense lesions along the posterior aspect of the spinal cord at the C6-7 level, the T8-9 level , the T10 level and the T11-T12 level.No abnormal enhancing lesions are appreciated in the thoracic spine.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.No abnormal enhancing lesions are appreciated in the lumbar spine.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.Multiple lesions are present along the central posterior aspect of the cervical and thoracic spinal cord as detailed above. There is no associate contrast enhancement to suggest acute lesion. These are consistent with the clinical suspicion of demyelinating disorder.2.There is no compromise to the lumbar, thoracic or cervical spinal canal.