This 28 y/o male presented with lower extremity paresthesias and weakness. There was a history of a recent febrile illness treated with over the counter medications. There is abnormal increased T2 signal in the spinal cord consistent with demyelination. The diagnosis of Acute Disseminated EncephaloMyelitis (ADEM) was considered. The patient was treated with high dose corticosteroids and the symptoms gradually resolved. Followup MRI of the thoracic spine one year later showed complete resolution of the abnormal cord signal.