Smooth thickening and abnormal enhancement of the cauda equina including both anterior and posterior nerve roots. The upper thoracic spinal cord nerve roots show mild abnormal enhancement. Otherwise normal exam.
No “sugar-coated” spine to suggest diffuse leptomeningeal contrast enhancement in spinal cord. Normal alignment of the vertebra bodies and they return normal signal intensity. Intervertebral discs are preserved and maintain normal signal. No disc herniation. The spinal cord ends at L1. No abnormal enlargement of the spinal cord.
The spinal cord and conus medullaris return normal signal intensity. No abnormal T2/STIR sequence hyperintensity within the spinal cord. No intraspinal or intramedullary lesion.