MS, bladder dysfunction The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. No abnormal enhancing lesions are identified in the thoracic spine.There is a high signal focus within the left posterolateral aspect of the T4 vertebral body identified on T2-weighted imaging. This is isointense to the rest vertebral body on T1 displays contrast enhancement following contrast administration. It measures 14 x 8 mm axial dimensions. There is a similar-appearing lesion present at C7 which can be identified on c-spine MRI from 2013.
1.There is a lesion within the T4 vertebral body which is suspected to represent an atypical hemangioma in the absence of known primary tumor. A similar lesion is present at C7 which has been previously identified on MRIs dating back to 2013. A follow-up exam would help confirm this. Alternatively a CT scan may help further assess this.2.No thoracic spinal cord lesion is appreciated to suggest demyelinating lesion in the thoracic spinal cord.