Intracerebral hemorrhage. Right sided weakness not explained by intracranial hemorrhage. MRI thoracic spine:There are patchy T2 hyperintense signal changes involving the right peripheral hemicord more than the left at the T3-4 level (series 801 images 16-20). There is no mass effect or cord enlargement associate with these.There are endplate osteophytes at T4-5 and to a lesser degree at other levels.There is a T1 hyperintense lesion at T1 likely representing hemangioma.There are multilevel small perineural cysts present in the neural foramina.The thoracic vertebral bodies are appropriate in the overall alignment and height. There is no compromise of thoracic spinal canal or exiting nerve roots. 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. There is multilevel disk dessication present. At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is bilateral facet hypertrophy present at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is mild bilateral facet hypertrophy present at this level.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.There are small Tarlov cysts in the sacral spinal canal.
1.Thoracic spinal cord lesions involving the right hemicord more than the left are non-specific. These could relate to demyelination, though the possibility that they are the consequence of transverse myelitis cannot be excluded. They involve periphery of the cord (white matter).2.There are mild degenerative changes in the lumbar and thoracic spines.