Newly diagnosed multiple, T2 signal hyperintensities in brain and c-spine: numbness in upper extremities. There is a punctate focus of high T2 signal in the left aspect of the lower thoracic spinal cord. The rest of the thoracic and upper lumbar portions of the spinal cord display normal signal and morphology. There is no evidence of enhancing lesions or tumors in the thoracic or lumbar spine. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved, aside from mild loss of disc fluid signal and height at L4-5 and L5-S1. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable, aside from dependent edema in the lower back subcutaneous tissues. There are nodules in the uterus.
1. A punctate focus of high T2 signal in the left aspect of the lower thoracic spinal cord may represent a demyelinating lesion.2. Nodules in the uterus may represent fibroids. Dedicated pelvic ultrasound may be useful for further evaluation.