Male, 30 years old, with profound bilateral lower extremity weakness and decreased sensation, mid back pain. Assess for cord compression. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No worrisome marrow signal abnormality is seen.No evidence of cord compression is detected. However, a fairly prominent tract of T2 hyperintensity is seen within the central cord in the cervical region, and again to a lesser degree in the upper thoracic region. The nerve roots of the cauda equina are not well visualized on the sagittal STIR sequence which may indicate thickening or abnormal signal. Incidental note is also made of probable abnormal signal within the pons.
1.No evidence of cord compression.2.Findings are seen concerning for abnormal central cord signal within the cervical and upper thoracic region. In addition, the nerve roots of the cauda equina are not distinctly visualized which may indicate thickening or abnormal signal.3.Findings are also seen suspicious for abnormal signal within the pons.4.The above findings should be verified and further assessed with dedicated postcontrast MR imaging of the brain and spine.