Diagnosis: WeaknessClinical question: evaluate for myelopathy, L hemisensory / hemi-motor symptomsSigns and Symptoms: evaluate for myelopathy, L hemisensory / hemi-motor symptoms MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. There is multilevel disc desiccation present.There is a disc bulge present at T3-4. There is a mild disc bulge present at T5-6, T6-7, T7-8, T9-T10 and T10-11. A Schmorl's node is present at the superior endplate of T8 associated with some reactive change.. Some endplate reactive changes are identified at T6-7 with high signal on T2 and low signal on T1.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a minor disc bulge present at this level. At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present at this level associated with bilateral ligamentum flavum hypertrophy. The fat at the lateral recesses sees is not effaced.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a right far lateral disc protrusion at this level which mildly encroaches on the right-sided exiting nerve roots as they exit the neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.There are cystic lesions present in the kidneys. One in the left kidney measures approximately 6 8-mm in diameter
1.There are multilevel degenerative changes present in the thoracic spine without significant compromise to the spinal canal or exiting nerve roots. Similar degenerative changes appear to be in the subacute stage in the midthoracic spine at the T7-8.2.There are degenerative changes present in the lumbar spine without significant compromise to the spinal canal or neural foramina as detailed above. There is a right far lateral disc protrusion at L3-4 which encroaches on the right exiting nerve root.3.There is a tiny lesion in the left kidney which is suspected to represent a cyst but is not adequately imaged.