Multiple sclerosis: pain and paresthesias legs. There are persistent T2 hyperintense lesions in the spinal cord, particularly at the T1-2 and T12 levels. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There are multilevel upper thoracic subcentimeter neural foraminal perineural cysts. There are disc protrusions at L4-5 and L-S1 with mild bilateral neural foraminal narrowing, but no significant spinal canal stenosis. There are multilevel degenerative changes in the cervical spinal cord, which are depicted only on the limited localizer images. The paravertebral soft tissues are unremarkable. There are multiple adnexal lesions, perhaps including hemorrhagic cysts.
1. Persistent demyelinating lesions in the spinal cord.2. Multiple adnexal lesions, perhaps including hemorrhagic cysts. A pelvic ultrasound may be useful for further evaluation.