84 year old male with bilateral leg weakness, stool incontinence, history of metastatic prostate cancer. Evaluate for cord compression. No large marrow infiltrating lesions are appreciated within the cervical, thoracic, or lumbar spine. No obvious epidural tumor. The vertebral bodies heights are grossly maintained. There is mild reversal of cervical lordosis. Alignment of the spine is otherwise grossly maintained. There are no findings to suggest acute cord compression.Degenerative changes are seen throughout the cervical spine with at least moderate degree of spinal canal stenosis at C3-C4 and C5-C6 and to a lesser degree C4-C5 levels related to disc bulge and ligamentum flavum thickening. Additional multilevel degenerative changes are also seen involving the lumbar spine, most prominently involving the L3-4 level where there is moderate to severe spinal canal stenosis which is better appreciated on the dedicated lumbar spine performed subsequently.Prominent endplate degenerative changes are present at L3-L4 and to a lesser degree at the L4-L5 levels. There is a prominent Schmorl's node involving the superior endplate of L4. There is also edema involving the superior L4 endplate which is favored to be on an advanced degenerative basis.
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 acute cord compression is identified. Degenerative changes at multiple levels in the cervical and lumbar spine with at least moderate spinal canal stenosis at C3-C4 and C5-C6 and moderate to severe spinal canal stenosis at L3-L4. Please refer to separate dedicated lumbar spine MRI report.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.