Multiple sclerosis [G35], Reason for Study: ^Reason: eval for new MS lesions History: fever, chest pain, abd pain, hx MS Multifocal patch T2 high signal intensity lesions of cervical and thoracic spinal cord are consistent with demyelinating disease involvement such as multiple sclerosis.Mild loss of normal cervical lordosis with central to left focal disc protrusion at the level of C6-C7 as well as mild disc bulging of C4-5 level. At the level of C6-C7, there is a mild/moderate left lateral recess stenosis due to disc bulging.There is normal thoracic kyphosis.There is diffuse disc bulging at at the level of T6-7.There is no evidence of spinal canal stenosis at thoracic levels.The conus medullaris terminates at the level of L1. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The paraspinal soft tissues and musculature are unremarkable.
1. Multifocal patchy T2 high signal intensity lesions mainly on cervical cord as well as thoracic cord indicating spinal cord involvement of demyelinating disease such as multiple sclerosis.2. Degenerative changes of cervical and thoracic spine are seen including central to left disc protrusion at the level of C67 and diffuse bulging of discs at the level of C45 and T67. 