Optic neuritis. Evaluate for cervical spine demyelinating lesions. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained aside from mild reversal of cervical lordosis which may be in part positional. Bone marrow signal is benign including small focus of T1 hyperintensity involving the posterior aspect of the C5 vertebral body most consistent with a small hemangioma..The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancement.Mild degenerative changes are seen in the cervical spine with small disc osteophyte complexes at the C3-C4, C4-C5, and C5-C6 levels with partial effacement of the ventral thecal sac but overall no significant spinal canal stenosis. Additional details as below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: Mild narrowing of the left neural foramen related to uncovertebral hypertrophy. Otherwise no significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. No evidence of demyelinating disease in the cervical spinal cord.2. Mild multilevel degenerative changes as described above.