 CERVICAL SPINE: There is a patchy focus of T2 hyperintensity in the cervical cord on the right at the upper C5 level and bilaterally at C5-C6 level. No evidence of cord edema or abnormal enhancement.There is straightening of the normal cervical lordosis. There are mild degenerative changes with multilevel small central disc osteophyte complexes with partial effacement of the ventral thecal sac. No significant spinal canal or neural foramina stenosis. The disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable.THORACIC SPINE: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. Minimal multilevel disk bulges. There is no significant spinal canal stenosis.The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology with the conus terminating at the inferior L1 endplate. The paravertebral soft tissues are unremarkable.
1.Prior study is not available for comparison. Patchy T2 hyperintensity within the cervical cord at the C4 to C6 levels may represent residual edema or gliosis from prior demyelination/transverse myelitis. No lesions with enhancement to suggest active demyelination. 2.Minimal cervical and thoracic spine degenerative changes. 3.No lesions within the thoracic cord.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.