Multiple sclerosis [G35], Reason for Study: ^Reason: shaw S loss and MS History: ibid There are high signal intensity lesions at the level of C1 anterior middle aspect and left posterolateral aspect (series 14, image 7/38) and C34 right posterolateral aspect of the spinal cord (series 14, image 17/38). These lesions suggest possible cervical spinal cord involvement of the patient's known multiple sclerosis. Other areas of cervical spinal cord signal intensity appears to be normal.There is normal cervical lordosis. The cranial-cervical junction is normal. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. Degenerative changes are specified by the intervertebral level as follows: C2-C3: disc dessication, no neuroforaminal narrowing or spinal stenosis. C3-C4: disc dessication, diffuse mild bulging of disc, no neuroforaminal narrowing or spinal stenosis. C4-C5: disc dessication, no neuroforaminal narrowing or spinal stenosis. C5-C6: minimal bulging of disc, no neuroforaminal narrowing or spinal stenosis. C6-C7: no neuroforaminal narrowing or spinal stenosis. C7-T1: there is 7mm x 8mm sized synovial cyst arising from the right side facet joint, no neuroforaminal narrowing or spinal stenosis.
1. High signal intensity lesions on cervical spinal cord suggesting multiple sclerosis involvement at the level of C1 and C34 as described above.2. Minimal degenerative changes of cervical spine including synovial cyst on the right side of C7T1 fact joint.