Assess for NMO flare: New pins/needles sensation. There has been marked interval decrease in the extent of the T2 hyperintensity and swelling in the upper thoracic spinal cord, now limited to the T3-4 level. Likewise, the associated abnormal enhancement has virtually resolved. There is no evidence of new spinal cord lesions. There is no evidence of intraspinal abnormal enhancement or mass lesions. There is lack of cervical lordosis, but no spondylolisthesis. The rest of vertebral column alignment is within normal limits. There is a small posterior disc osteophyte complex at C3-4, which nearly abuts the spinal cord. The vertebral body and disc space heights are preserved. There is a probable small hemangioma in the C3 vertebra. The vertebral bone marrow signal is otherwise unremarkable. The paravertebral soft tissues are unremarkable.
1. Marked interval decrease in the extent of the inflammatory lesion in the upper thoracic spinal cord.2. A small posterior disc osteophyte complex at C3-4 nearly abuts the spinal cord. 