53 years Female (DOB:5/22/1962)Reason: evaluate for demyelinating disease History: as abovePROVIDER/ATTENDING NAME: RAYMOND J ROOS RAYMOND J ROOS MRI thoracic spine:There are patchy T2 hyperintense lesions present within the thoracic spinal cord. This includes the right posterior lateral aspect of the spinal cord at T6 and the left posterior lateral aspect of the spinal cord at T8.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. 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.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a diffuse disc bulge present this level associated with moderate bilateral facet and ligamentum flavum hypertrophy. There is preservation of the fat at the lateral recess and the exiting nerve roots are surrounded by fat within the neural foramina.At L4-5 there is some loss of disc space height, disc desiccation, diffuse disc bulge and moderate bilateral facet ligamentum flavum hypertrophy associated with mild anterior subluxation of L4 and L5. There is effacement of the fat at the lateral recess bilaterally at this level and crowding of the nerve roots within the thecal sac. Within the neural foramina the exiting nerve roots on the right side are surrounded by fat however the fat surrounding the exiting nerve roots in the left side is effaced. At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge present at this level.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. There is a small broad-based central disc protrusion present at this level.
1.There are lesions present within the thoracic spinal cord as detailed above which are suspicious for demyelinating process.2.There are degenerative changes present in the lumbar spine which are worse at L4-5 where there is a moderate degree of spinal stenosis and encroachment of the left-sided exiting nerve roots due to degenerative changes.