Male, 29 years old, with paresthesias and a diagnosis of multiple sclerosis. Cervical:Midline T2 hyperintensity is seen within the cord at C1 extending to the dorsal cord surface. No additional focal cervical cord lesion is seen. No epidural abnormalities are suspected.The cervical spine is straightened but sagittal alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No marrow signal abnormalities are detected. The intervertebral discs are preserved with no significant compromise of the spinal canal or neural foramina.Thoracic:No convincing focal spinal cord lesions are identified. No epidural abnormalities are suspected.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow signal abnormality is detected. The intervertebral discs are preserved. The spinal canal and neural foramina are patent.
A single lesion is identified within the cervical spinal cord at C1 which would be compatible with multiple sclerosis. No additional lesions are seen in the cervical or thoracic regions.