50 years Male (DOB:2/14/1966)Reason: assess for MS plaques History: urinary incontinencePROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. Mild reversal of normal cervical curvature could be positional .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.MRI thoracic spine:At the T11 vertebral body level there is suspected signal abnormality along the anterior and medial aspect of the spinal cord.The thoracic vertebral bodies are appropriate in the overall alignment and height. There is no compromise of thoracic spinal canal or exiting nerve roots. There are degenerative changes present in the thoracic spine with Schmorl's nodes at the T7 and T8 superior endplates and the superior and inferior endplates of T11 as well as inferior endplate of T10 and the superior endplate of T12.
1.A thoracic spinal cord lesion present along the anterior aspect of the spinal cord at the T11 level. This could represent demyelinating focus.2.There are mild degenerative changes present in the thoracic spine.3.There is no convincing evidence for demyelinating focus in the cervical spinal cord.