Male, 20 years old, with lower extremity paralysis. No acute cord compression is seen. The spinal canal is widely patent throughout. Although image quality is degraded by motion artifact, there does appear to be an area of spinal cord signal abnormality spanning at least the T1 and T2 vertebral body levels if not more. Disc bulge and facet arthropathy are suspected at L5-S1. Fairly extensive edema is seen within the left posterior paraspinal musculature at the cervicothoracic junction. Less intense but still extensive posterior paraspinal edema is seen in the lumbar region as well. A pleural effusion is evident layering along the left upper lobe. Right middle lobe atelectasis is noted.
1. Image quality is degraded by motion artifact.2. No acute cord compression is seen.3. An area of spinal cord signal abnormality is suspected spanning the T1 and T2 vertebral body levels. This should be further assessed with dedicated pre and postcontrast imaging.4. Fairly extensive paraspinal muscular edema is seen on the left at the cervicothoracic region and bilaterally in the lumbar region.5. Left pleural effusion and right middle lobe atelectasis.