Evaluate for demyelinating disease: paresthesias. There is faint patchy T2 hyperintensity in the cervical and upper thoracic spinal cord at multiple levels, particularly at C2 through C4. There is a left middle cerebellar peduncle T2 hyperintense lesion. There is no evidence of mass lesions. The vertebral column alignment is mildly straightened in the sagittal plane and there is mild degenerative spondylosis at C4 though C6, but there is no significant spinal canal stenosis. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable.
Findings compatible with demyelinating lesions in the cervical and upper thoracic spinal cord at multiple levels, although these are incompletely characterized without intravenous contrast. Refer to the previous brain MRI regarding additional intracranial lesions.