Multiple sclerosis. Evaluate for progression. There is minimal retrolisthesis of C4 on C5 and C5 on C6. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal morphology. There are scattered foci of T2 hyperintense signal within the cervical spinal cord at multiple levels as follows: at the C2 level, in the slight right paramidline posterior aspect; at the C3-4 level, in the right lateral aspect; at the C5 level, in the posterior midline; at the C6-7 level, in the left lateral aspect; at the C7-T1 level, in the right lateral aspect. There is minimal degenerative spondylosis in the lower cervical spine without significant spinal canal or neural foramen stenosis. There is a subcentimeter left adenoid retention cyst. The paravertebral soft tissues are unremarkable.
Multiple lesions within the cervical cord may represent a demyelinating process. No prior cervical spine MRI is available to evaluate for progression.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.