 Images are limited by patient motion despite repeated sequences. The cervical spine is in normal alignment, with a normal cervical lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. There is suggestion of mild cord thinning at the cervicothoracic junction. There is a focus of T2/STIR hyperintensity centrally within the cord at the C5-C6 level, not well delineated on the motion degraded axial images. There is an additional linear T2/STIR hyperintensity suggestive the upper thoracic cord at least at the T1 level.At C6-C7, there is a shallow central disc protrusion which indents the thecal sac.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the remainder of the cervical spine.There is prominent patchy hyperintensity within the pons and right brachium pontis previously seen on MRI of the brain.
Severely motion degraded exam. Suggestion of mild cord atrophy along the cervicothoracic junction with focal abnormal signal at C5-C6 level and likely spanning the T1 level. Follow-up diagnostic axial imaging through the cervical spine is likely helpful for further characterization although findings are suspicious for demyelinating disease.