The cord demonstrates florid leptomeningeal enhancement coating its entire length from upper cervical down to the presacral cul-de-sac. The degree of leptomeningeal enhancement progressively increases as one extends inferiorly and in the lower thoracic and lumbar canal the entire CSF space demonstrates contrast enhancement. As the lower sequences have been obtained after the cervical spine, some of this enhancement likely represents gadolinium leaking into the CSF space rather than necessarily complete solid encasement of the cauda equina. This notwithstanding, there is extensive high T2 signal throughout the majority of the cord, particularly in the lower cervical region, and in the conus.