Demyelinating disease of central nervous system, unspecified [341.9], Reason for Study: ^Reason: MS? History: tingling sensations. C-SpineThere are multifocal somewhat patchy high signal intensity spinal cord lesions on cervical spine on T2 and STIR images including C23, C45 and C67disc level and fusiform lesion from T1 to T2 vertebral level. The lesion on C23 and C67 level lesion show enhancement and T1-T2 level shows peripheral enhancement..The cranial-cervical junction is normal. There is normal cervical lordosis. The cervical spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. No evidence of spinal canal/neural foraminal narrowing or myelopathy. There is minimal diffuse bulging of disc at the level of C56.Otherwise no evidence of disc disease.Thoracic SpineT3, T56, T89, T10 and T11 level spinal cord show multifocal high signal intensities on T2 weighted images. These lesions do not show any evidence of enhancement.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. There is no evidence of spinal canal/neural foraminal narrowing, cord compression, or myelopathy. The conus medullaris terminates at the T12-L1 level.
Multifocal somewhat patchy spinal cord high signal intensity lesions with some of them showed enhancement. These findings suggest possibility of spinal cord involvement of demyelinating disease such as multiple sclerosis.Differential diagnosis include transverse myelitis, infectious origin or tumorous conditions which appear to be lower possibility.