NMO, nearly blind: worse vision and pressure behind eyes. Thoracic pain. Orbits: There is diffuse atrophy and high T2 signal involving the right optic nerve. There is also atrophy of the left optic nerve, but to a lesser degree. The globes, extraocular muscles, lacrimal glands, and orbital fat are unremarkable bilaterally. There is scattered paranasal sinus mucosal thickening.Cervical Spine: There is loss of the usual cervical lordosis and multilevel degenerative cervical spondylosis with spinal canal narrowing at C3-4 to C6-7, without spinal cord compression. The spinal cord displays normal signal and morphology. The vertebral body are preserved. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable.Thoracic Spine: The thoracic 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 significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. Right greater than left optic nerve atrophy.2. No evidence of spinal cord lesions.3. Multilevel degenerative cervical spondylosis.