Other disturbances of skin sensation [R20.8], Reason for Study: ^Reason: eval for cord compression History: sent from urgent care, numbness/paresthesia that progressed to saddle anesthesia today There is no evidence of spinal cord compression on this scan.The conus medullaris terminates at the level of T12. On STIR images, there are suspicious scattered high signal intensity lesions on cervical cord at the level of C2, C3 and C4 level which may indicate possibility of demyelinating disease. At L5S1 level, there is disc bulge at the level of L5S1.There is about 25mm lesion within the uterus which may indicate fibroid.There is normal cervical lordosis. There is normal thoracic kyphosis and lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. If clinically indicated, dedicated cervical spine MRI and lumbar spine MRI can be considered for further imaging evaluation.
1. No evidence of spinal cord compression.2. Disc bulge seen at the level of L5S1.3. Suspicious cervical spinal cord high signal intensity lesions which possibly indicate demyelinating lesion.Comment: If clinically indicated, dedicated cervical spine MRI can be considered for further evaluation.