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The cord demonstrates multiple scattered small segment foci of increased signal on T2 concerning of demyelination, with one central at T5/6 showing contrast enhancement suggesting active lesion. The cord has otherwise normal calibre, with no evident atrophy, and ends at the level of L1. The canal is overall capacious at all levels. There is a mild inversion of the cervical spine lordosis centred at C5/6, with posterior central disc protrusions mildly indenting the cord at C4/5, C5/6, and C6/7. No high-grade foraminal stenosis identified.

Vertebral height and bone marrow signal are unremarkable. The paravertebral soft tissue is unremarkable.