 There is a subcentimeter T2 hyperintense enhancing focus within the dorsal columns of the cervical cord at the level of the C3 vertebral body, without appreciable expansion of the spinal cord. At C3-4, there is a posterior disc-osteophyte complex that slightly effaces the anterior thecal sac CSF. At C4-5, there is a disc-osteophyte complex with an eccentric left disc protrusion that indents the anterior aspect of the spinal cord. At C5-6, There is a central disc bulge, with a normal canal stenosis. There is no significant neural foraminal stenosis in the cervical spine. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable. The cerebellar tonsils extend up to 2 mm inferior to the foramen magnum.THORACIC SPINE
1. A subcentimeter enhancing lesion within the cervical spinal cord at the level of C3 may represent active demyelinating disease, an infectious myelitis, or autoimmune process, or vasculitis, for example. A brain MRI with contrast may be useful for further evaluation of disease extent if clinically warranted.2. Multilevel posterior disc-osteophyte complexes within the cervical spine, with impingement upon the spinal cord at C4-5. 3. The thoracic spine is unremarkable.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.