Patient presenting with weakness and paresthesias: evaluate for demyelinating disease. Per chart review, the patient had an MRI at an outside facility and was given a diagnosis of transverse myelitis due to an L1 lesion. Cervical Spine: The spinal cord displays normal signal and morphology. There is mild loss of cervical lordosis, but no spondylolysis. There is right paracentral disc-osteophyte complex at C5-C6 level resulting in right neural foraminal narrowing, but no spinal cord compression. There is also a trace posterior disc-osteophyte complex at C4-5 and small perineural cysts within multiple neural foramina. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable.Thoracic spine: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
Mild degenerative spondylitic disease of the cervical spine, but no evidence of demyelinating lesions in the cervical and thoracic spinal cord.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.