Diagnosis: Multiple sclerosisClinical question: baseline in patient with MSSigns and Symptoms: BLE n/t tingling The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal overall morphology.At the C3 vertebral body level there is suspicion for a high signal focus along the left posterior lateral aspect of the spinal cord. Similarly at the C5 vertebral body level there is a small T2 hyperintense lesion along the right posterior lateral aspect of the spinal cord. These are not confirmed on sagittal imaging and mainly apparent on T2 axial imagingAt 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.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.Findings are suspicious for small lesions in the cervical spinal cord at the C3 (left posterolateral) and C5 (right posterolateral) levels which would be consistent with demyelination.