47-year-old male with worsening weakness, gait instability and diplopia, evaluate for MS. THORACIC SPINE: There are multifocal patchy areas of T2 hyperintensity within the distal cervical and thoracic spinal cord. The largest lesion extends from T6 through T7 within the posterior aspect of the cord. There is no associated enhancement within these lesions. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable. There is a right renal cyst that measures up to 12 mm.LUMBAR SPINE: There are foci of highT2 signal in the distal spinal cord without associated abnormal enhancement. 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 a mild diffuse disc bulge at L5-S1 with a small annular fissure, but no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable.
Multiple T2 hyperintense lesions throughout the imaged spinal cord are compatible with a demyelinating process, but no enhancing lesions are identified to suggest active inflammation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.