Tingling in 4 limbs, evaluation for NMO. Confluent T2 signal in distal medulla to C7 and T3-T12 in NW MRI from November 2015. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is minimal residual T2 hyperintensity in the inferior medulla. The brain parenchyma and cerebellum otherwise appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Spine: There is decrease in the degree of T2 hyperintensity and swelling involving the majority of the cervical and thoracic spinal cord. The cauda equina nerve root sare unremarkable. The vertebral column alignment is unchanged. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable.
Interval decrease in the degree of edema involving the medullar and large portions of the spinal cord. 