Sarcoid versus inflammatory muscle disease. Cervical:Examination is mildly motion degraded which limits evaluation for subtle cord signal abnormalities. No definite signal abnormality within the cervical cord is however appreciated. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is benign. Mild degenerative changes are seen throughout the cervical spine with small disc osteophyte complexes and mild bilateral facet arthropathy. Individual levels as below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: No significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina. Small bilateral perineural cysts incidentally noted in the neural foramina.Paraspinous soft tissues are unremarkable.Lumbar:Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. T1 hyperintense lesion involving the L5 vertebral body is consistent with a hemangioma. The conus medullaris is normal in position. Perineural cyst at the right S2 level is incidentally noted.Individual levels as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis.There is asymmetrically increased edema involving the paraspinous musculature on the left, best seen on the sagittal STIR sequence.
1. No evidence of cervical cord signal abnormality. There are mild degenerative changes throughout the cervical spine without significant spinal canal or neural foraminal stenosis at any level. 2. No spinal canal or neural foraminal stenosis in the lumbar spine.3. If there is high concern for leptomeningeal disease in the spine related to an inflammatory process, post gadolinium sequences may be considered. 4. There is edema involving the lumbar paraspinous musculature on the left.