Gait disorder with right upgoing toe and left leg paresthesia. There appears to be patchy T2 hyperintensity and mild volume loss at the T6-7 level. There is also apparent T2 hyperintensity in the spinal cord at the T1-2 and T4 levels. There are small posterior disc-osteophytes in the mid thoracic spine, but the spinal canal is not significantly narrowed. There are subcentimeter neural foraminal perineural cysts at multiple levels. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no evidence of mass lesions or abnormal enhancement in the thoracic spine. The paravertebral soft tissues are unremarkable.
Apparent myelomalacia at multiple levels of the thoracic spinal cord. These may be secondary to a prior demyelinating or infectious process, for example.