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The sagittal T2 images show abnormal hyperintensity within the posterior aspect of the cervical cord extending from the level of C4 to C6. Axial T2 images at these levels show symmetric abnormal hyperintensity within the posterior spinal cord corresponding to the dorsal columns. The areas of abnormal T2 hyperintensity within the dorsal columns show post contrast enhancement shown in coronal T1 c+fat sat images. This distinctive pattern of abnormal signal intensity is suggestive of subacute combined degeneration of the spinal cord.