MRI was done because of right rib pain, which then 2 weeks later went to a weird feeling in the left leg (cold sensation?) which also led to a cold sore on the mouth. Brain MRI has been scheduled. Obviously MS has me nervous. Wondering what other things could possible cause.
A linear area of T2 hyperintensity involving the right lateral cord extending from the superior
endplate of T6 to the superior endplate of T7 with minimal patchy enhancement. Difference diagnosis
includes demyelinating process such as multiple sclerosis versus myelitis.
Further evaluation with an MRI of the brain with and without gadolinium is recommended. If
clinically warranted, correlation with CSF values may be helpful.
DATE OF SERVICE: 01.04.2019
EXAMINATION: MRI THORACIC SPINE WITH AND WITHOUT CONTRAST
CLINICAL INDICATION: Paresthesias.
TECHNIQUE: Multiplanar multisequence imaging of the thoracic spine was performed without and with
contrast on a 3.0 magnet. 7.0 mL was utilized. 0.5 mL was discarded.
ADVERSE REACTION: None.
FINDINGS: The bony alignment demonstrates mild kyphosis centered at T11-12. Modic type I endplate
changes are noted at T11-12. No compression deformities are noted. Minimal disc bulge is noted at
T10-11 and T11-12. Minimal disc bulge is also noted at T7-8. No significant central canal stenosis
or neural foraminal narrowing is identified.
Detailed imaging of the cord demonstrates a focal area of T2 prolongation involving the right
lateral cord extending from the superior endplate of T6 to the level of the superior endplate of T7.
With the administration of gadolinium, minimal patchy enhancement is noted. Difference diagnosis
includes demyelinating plaque versus myelitis. No other thoracic spinal cord lesions are identified.
No cord expansion is noted.
No paraspinal masses are noted.