Findings:
The craniocervical junction is normal.
At the level of a chronic T7/8 a focal C-shaped anterior displacement of the cord is seen, which is closely applied to the anterior dura with obliteration of the anterior CSF plane. This is associated with T2 hyperintensity and syringomyelia underneath the level of indentation, extending from T8 to T9 level. There is also increased T2 signal in the central grey matter posterior to the central canal at this levels, creating the so-called owl’s eyes appearance.
The cord and conus are otherwise unremarkable, as is the cauda equina. The cord terminates at T12.
Mild decrease in the height of several thoracic vertebrae is seen with increased thoracic kyphosis. The vertebral bodies and discs are otherwise of normal height with no malalignment. The marrow and disc signal is normal.
No evidence of disc herniation or any relevant stenosis.
No paravertebral abnormality is identified.
Conclusion:
Features likely compatible with ventral cord herniation at T7/8 without associated myelopathy and syringomyelia at T8-T9 levels. No central canal stenosis. Further evaluation with contrast enhanced MRI of the spine (to rule out intramedullary enhancing lesion) and neurosurgical referral is advised.