Reason: Evaluate for cord compression History: b/l 3/5 weakness in quads, new onset. Hx metastatic urothelial ca The spinal cord has normal signal characteristics and overall morphology. There is no compromise of the spinal cord.Degenerative changes affect the cervical spine, with multilevel disc dessication and bulging, more prominent at the C4-C5, C5-C6 and C6-C7 levels, where there is mild associated neural foraminal narrowing. Degenerative changes also affect the lumbar spine, with mild subluxation at L4-L5 associated with facet arthropathy, as well as disc bulging at L5-S1. There is a mild rightward curvature of the lower thoracic and upper lumbar spine. A small hemangioma within the L1 vertebral body is noted. Bilateral lower pole renal cysts are incompletely characterized on this study.
1.This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No cord compression is identified.2.Multilevel degenerative changes affect the cervical and lumbar spine without significant compromise to the spinal canal. There is some evidence for neural foramen narrowing, however, due to the screening nature of this protocol, further details are not as evident on imaging as dedicated protocols of the spine.