75-year-old male with urinary retention, lower extremity weakness and bowel incontinence. Evaluate for cord compression. Exam is limited by motion degradation. The spine may be scoliotic or this may be positional. There are findings compatible with multilevel degenerative changes involving much of the cervical spine with disc osteophyte complexes and facet degenerative changes. This results in at most moderate to severe spinal canal stenosis involving the C4-5 level which is likely chronic in etiology. Note however that cord signal abnormality cannot be fully evaluated on this limited exam. There are additional degenerative changes in the lumbar spine most prominently involving the L4-5 level where there a disc bulge and facet degenerative changes contribute to moderate spinal canal stenosis.
Multilevel degenerative changes causing up to moderate to severe spinal canal stenosis at the C4-5 level and moderate spinal canal stenosis at the L4-5 level. These findings are felt to be chronic in nature. If there is further concern, dedicated cervical spine MRI and lumbar spine MRI may be obtained on a nonemergent basis.