69 years Male (DOB:11/12/1947)Reason: pt with MS, concern for flare History: pt with MS, concern for flare PROVIDER/ATTENDING NAME: YASMIN H. KARIMI MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord is small and atrophic appearing but has normal signal characteristics. There is no compromise of thoracic spinal canal or exiting nerve roots. No abnormal enhancing lesions are identified in the thoracic spine.There are dorsally located subcutaneous cystic lesions present at the level of the the upper cervical spine and lumbar spine. One at the level of the upper cervical spine measures 13 x 24 mm sagittal dimensions whereas the one in the midthoracic spine level measures 30 x 19 mm sagittal dimensions. These are predominantly hyperintense on T2 and hypointense on T1 and have a thick wall most likely represent sebaceous cystsThere are small pleural effusions present.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.No abnormal enhancing lesions are identified in the lumbar spine.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is some facet and ligamentum flavum hypertrophy at this level. There is a disc bulge at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is some facet and ligamentum flavum hypertrophy at this level. There is a disc bulge at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.Findings are suggestive of spinal cord atrophy.2.There are some mild degenerative changes present lower lumbar spine without significant compromise spinal canal or neural foramina3.There are small pleural effusions present.