36 years Male (DOB:1/12/1980)Reason: MS, follow up progression History: leg weaknessPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED Cervical spine:There are several T2 hyperintense lesions within the cervical spinal cord. One is present along the left hemicord at the C2-3 disc space level another one is present in the left hemicord at the C4-5 through C67 disc space level another one is plaque present in the posterior aspect of the cervical spinal cord at the C7 vertebral level and another one is present along the posterior aspect of the spinal cord at the C1 level.The cervical vertebral bodies are appropriate in overall alignment and height. 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.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.Incidental note is made of partial opacification of the sphenoid sinus which is only partly included on this examMRI thoracic spine:There are multiple patchy T2 hyperintense lesions throughout the thoracic spinal cord. These do not expand the spinal cord but do not involve a significant proportion of the thoracic spinal cord. More notable lesions are present at the right hemicord centered at T4 extending from the T3-4 to the T4-5 disc space and another one along the posterior portion of the spinal cord extending from the C6-7 T8-9 disc space while another one along the posterior aspect of the spinal cord extends from the T9-T10 to the T11-T12 disc space . Still another one is located at the conus medullaris. There are other smaller lesions intervening within the thoracic spinal cord.The thoracic vertebral bodies are appropriate in the overall alignment and height. There is a disc bulge at T10-T11 with some reactive changes along the inferior endplate of T10There is no compromise of thoracic spinal canal or exiting nerve roots. There is a cystic lesion along the superior aspect of the left kidney.
1.There are multiple lesions scattered throughout the cervical and thoracic spinal cords which are compatible with demyelination. No prior studies are available for comparison.