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Poorly-defined, non-contiguous foci of high T2w signal within the lower cord and conus medullaris, predominantly located anteriorly. A characteristic 'owl eye' appearance is demonstrated at the T12 level. There is associated expansion of the cord. No clear evidence of increased T1w signal to indicate haemorrhage and no enhancement of the lesions post-contrast. The discontinuous nature of the lesions is against an ischaemic aetiology, while the lack of contrast-enhancement is against an intramedullary tumour. Demyelination or myelitis cannot be excluded based on current imaging.
Incidental degenerative spondylotic changes at L4/L5 and L5/S1, accompanied by Modic type 1 changes.
Follow-up imaging was performed.