Numbness in the legs, assess for demyelinating disease or other inflammatory disease such as Sjogren's. Brain:Brain parenchyma is within normal limits for age. No findings to suggest demyelinating disease. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Major flow-voids are preservedSella and orbits are grossly within normal limits. Evidence of left intraocular lens replacement. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits. Lacrimal glands and partially visualized parotid glands appear unremarkable.Cervical:The spinal cord is of normal caliber and signal. Mild to moderate degenerative changes are seen including disk desiccation at C5-C6 and C6-C7 with disk osteophyte complexes and mild ligamentum flavum thickening resulting in mild spinal canal stenosis at C5-C6 and C6-C7. There is minimal, right greater than left, neural foramina narrowing at these levels related to uncovertebral hypertrophy. Neural foramina are otherwise patent. There is mild loss of cervical lordosis. Alignment of the cervical spine is otherwise maintained. Vertebral body heights are normal. Small scattered foci of marrow T1 hyperintensity compatible with focal fat or small hemangiomas. No worrisome focal marrow signal abnormality is appreciated. Thoracic:The spinal cord is of normal caliber and signal. The thoracic spine is in normal alignment with a normal thoracic kyphosis. Minimal degenerative changes are seen including mild T11-T12 disc bulge without significant spinal canal or neural foraminal stenosis. The vertebral body and disk heights are otherwise well maintained. T1 hyperintense vertebral body lesion at T8 consistent with hemangioma. No worrisome focal marrow signal abnormality is appreciated. There is no significant spinal canal or foraminal stenosis within the thoracic spine. Conus is in normal position.
1. Unremarkable MRI of the brain.2. Spinal cord is of normal caliber and signal. 3. Degenerative changes in the cervical spine with mild spinal canal stenosis at C5-6 and C6-7. Minimal disc bulge at T11-T2 without spinal canal or neural foraminal stenosis. 