Female, 29 years old, with weakness and concern for multiple sclerosis. Axial T2-weighted images are somewhat motion degraded. Within this limitation, the following observations are made.Central cord T2 hyperintensity is suspected at the C3 level. The lower cervical and upper thoracic spinal cord appears somewhat slender which could be artifactual or which could reflect some underlying volume loss. A few additional areas of questionable spinal cord signal abnormality are seen, but these are not definite due to image degradation.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. Marrow signal characteristics are unremarkable. No evidence of any pathologic marrow space, epidural, intramedullary or leptomeningeal enhancement is seen.Mild degenerative disc disease is seen at L5-S1 with loss of T2 signal, mild loss of height and with a subtle disc bulge and left paracentral/foraminal protrusion. No significant spinal canal stenosis is seen at this level. The left neural foramen is mildly narrowed.The remaining intervertebral discs are relatively preserved with no significant spinal canal stenosis or neuroforaminal narrowing.Intestinal note is made of small bilateral pleural effusions.
1.One fairly definite area of pathologic cord signal is seen at the C3 level which is nonspecific but in the context of the brain MRI findings would be compatible with demyelinating disease. 2.There may be a few additional areas of cord signal abnormality, and furthermore, the caliber of the cord appears to be somewhat reduced at the lower cervical and upper thoracic region suggesting volume loss. However, image quality on many sequences is degraded by motion artifact and it is difficult to diagnose these additional findings with confidence.3.Degenerative disc findings are seen at L5-S1. No significant spinal canal stenosis is seen at any level of the spine.