Reason: please do dr javed MS protocol History: severe pain in neck and spine The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine. There is small lesion present in the left hemicord at the C2 vertebral body level. There is another small lesion in the right hemicord at the C3-4 disk space level additional patchy lesions are present along the posterior aspect of the cervical spinal cord at the C4, C5, C6 and C7 levels as well as in the thoracic spinal cord at the T2 vertebral body level.A small focus of encephalomalacia is present along the lateral aspect of the left cerebellar hemisphere inferiorly.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.
1.Multiple lesions are present in the cervical spinal cord as well as the upper thoracic spinal cord which are compatible with the patient's diagnosis of demyelinating disorder.