Female, 33 years old, with multiple sclerosis and leg numbness. Spinal cord caliber and morphology are within normal limits. As on the prior examination, there remains some questionable vague T2 hyperintensity involving the central portion of the cord at mid to lower thoracic levels. It is unclear if this represents a real finding or an imaging artifact. In any event, it has not significantly changed from prior. No evidence of any focal spinal cord lesion is seen. No definite pathologic cord or leptomeningeal enhancement is seen.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. Marrow signal characteristics are normal. Intervertebral disk morphology is unremarkable. No significant spinal canal or neuroforaminal stenosis is seen.
Questionable vague signal abnormality involving the central portion of the mid to lower thoracic spinal cord is redemonstrated. It is unclear if this represents a real finding or an imaging artifact, and in any event, there has been no significant change. If this were to represent a real finding, it would be atypical for MS. No evidence of any classic MS-type lesions is seen and there is no pathologic enhancement.