MRI Results – Abnormally increased signal Intensity

Dr. Corenman,
I have been having migraines since I was a young girl. I was diagnosed with Lupus in 2017. In 2018 MS was ruled out. In 2015, I had a “seizure/stroke,” it left some type of white spots on my brain. It also wiped out some of my long term memory as well as difficulty with short term memory. My balance and coordination are still not back to pre 2015. I was having pain in my back that was radiating down to my left foot and causing me to fall. The dr. said it was due to my L4L5 so they performed a 360 fusion in 2016. (I still have back pain.)

I now have pain in my neck on the left side. I also have pain in my right shoulder near my shoulder blade and down to nearly my elbow. My PCP had me get an x ray which showed degeneration. Then we tried physical therapy. When the PT did not work he requested an MRI. He sent the results to my Neurologist but she referred me back to my PCP. I feel like I am getting the runaround. Can you give me some direction as to where to go from here?

Any help you can give would be appreciated.

The MRI report notes:
Procedure: MRI Spine Cervical W/O Contrast
Clinical Indication: M54.12
Sagittal T1, as well as sagittal and axial T2-weighted MRI images of the cervical spine.

Comparison: not available
No vertebral body or facet joint malalignment.
No generalized or focal bone marrow signal abnormalities. No defined osseous lesions.
No paraspinal lesions were identified.
The cerebellar tonsils are not abnormally low lying.
The cervical spinal cord demonstrates normal contour and caliber. However, there is an approximate 11 x 3.5 x 1.5 mm focus of abnormally increased signal intensity in the posterior left spinal cord at the C3 level. No underlying defined lesion.

C1-C2: No significant craniocervical junction narrowing.
C2-C3: No disc herniation. No significant spinal canal narrowing. No significant neural foraminal narrowing. No significant facet arthrosis.
C3-C4:No disc herniation. NO significant spinal canal narrowing. No significant neural foraminal narrowing. No significant facet arthrosis.
C4-C5: Degenerative disc height loss. No disc herniation. No significant spinal canal narrowing. No significant neural foraminal narrowing. No significant facet arthrosis.
C5-C6: Degenerative disc height loss. No disc herniation. No significant spinal canal narrowing. No significant neural foraminal narrowing. No significant facet arthrosis.
C6-C7: No disc herniation. No significant spinal canal narrowing. No significant neural foraminal narrowing. No significant facet arthrosis.
C7-T1: No disc herniation. No significant spinal canal narrowing. No significant neural foraminal narrowing. No significant facet arthrosis.

Impression:

1. There is a small focus of abnormally increased signal intensity in the posterior left spinal cord at the C3 level. Correlate with nonspecific myelitis.