Meningitis, unspecified [G03.9], Reason for Study: ^Reason: known c3-c7 signal abnormality , change? Enhancement? History: meningeal signs, RUE flaccid weakness and Left sided increased tone Previously seen T2/STIR high signal intensity lesions in the cervical spinal cord from C3 to C7 level are not as conspicuous as prior. In addition, subtle expansion of the cervical cord from C3 and C7 level has been resolved. There is no evidence of abnormal enhancement within the spinal cord.Leptomeningeal enhancements of cervical spinal cord slightly prominent that normal which is seen again and are unchanged since prior. Minimal bulge of disc at the level of C45 is seen. Central to left minimal bulging of disc is seen at the level of C56 without evidence of lateral recess stenosis.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.
1. Interval improvement of C3 to C7 spinal cord T2 high signal intensity and subtle spinal cord expansion since prior scan. Diagnostic possibility include transient congestive myelopathy. The possibility of demyelinating disease is slim.2. Slightly prominent leptomeningeal enhancement indicate possible meningitis, unchanged since prior scan. 3. Degenerative disc disease seen at the level of C45 and C56.