Female, 72 years old, with history of multiple sclerosis and increased weakness in the left arm and leg as well as brisk reflexes in the right knee. Patchy ill-defined T2 signal abnormality is again seen throughout the cervical spinal cord with encephalomalacia and cord volume loss most conspicuous at C6-7. No enhancing lesions are seen. No significant interval change is noted.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of concerning marrow replacement, edema or enhancement is observed.Mild disc degeneration is seen with small disc osteophytes evident from C3-4 through C6-7. No spinal canal stenosis is observed. There may be mild neuroforaminal narrowing on the left at C4-5, and moderate narrowing on the left at C5-6, due largely to facet arthropathy.
Patchy ill-defined cord signal abnormally along with myelomalacia at C6-7 are redemonstrated without significant interval change. Findings are compatible with chronic sequelae of demyelination. No evidence of any new or acute demyelinating lesion is seen.