Female, 54 years old, with bowel and bladder incontinence. Assess for cord compression. No evidence of acute cord compression is seen. Degenerative disc disease has progressed at C3-4 resulting in a mild to moderate degree of spinal canal narrowing and mild indentation of the ventral cord. There is equivocal mild T2 hyperintensity within the cord versus artifact at this level.Degenerative endplate changes are seen superiorly at L1, progressed from prior. Otherwise, marrow signal characteristics are unremarkable. Spinal alignment is anatomic. No other areas significant spinal canal narrowing are detected. Mild to moderate foraminal narrowing is seen in the lower lumbar spine.
1. No definite evidence of acute cord compression.2. Degenerative disc disease has progressed in the cervical spine when compared to the prior examination, particularly at C3-4 where there is a mild to moderate spinal canal stenosis and mild indentation of the ventral cord. These findings can be further assessed with dedicated cervical spine imaging if clinically warranted.