Bladder distention and frequent incontinence. There are degenerative changes in the cervical spine with small disc osteophyte complexes at the C3-C4 C4-C5, C5-C6 levels which along with ligamentum flavum thickening contribute to mild to moderate spinal canal stenosis, relatively worse at the C5-C6 level. No higher grade spinal canal stenosis or evidence of acute cord compression is seen. No obvious cord signal abnormality within the limits of the study. Apparent high signal on the cervical spine STIR sequence may be artifactual.There is a chronic appearing compression fracture involving the T6 vertebral body with approximately 30-40% loss of height and not significantly changed since prior MRI from 7/16/2014. Minimal wedging and endplate irregularity involving the vertebral bodies more inferiorly is also not significantly changed. There is no significant spinal canal stenosis in the thoracic spine or obvious cord signal abnormality within the limits of the study. Mild multilevel thoracic degenerative changes are again seen. Multiple foci of T1 hyperintensity involving multiple vertebral bodies are compatible with hemangiomas or foci of fat. Degenerative changes are also evident in the lumbar spine better evaluated on prior dedicated lumbar spine MRI study from/26/2014. There is mild or mild to moderate stenosis at multiple levels in the mid to lower lumbar spine which can be better assessed on dedicated lumbar spine sequences. No findings to suggest acute cord compression or significant cauda equina compression.There is dextrocurvature involving the upper thoracic spine and thoracolumbar junction as well as levocurvature at the mid to lower thoracic level as seen on prior studies. There is edema involving the posterior subcutaneous soft tissues in the lumbar region which is probably related to dependency.
Note this is a limited exam per cord compression protocol. Patient did not want to proceed with further dedicated sequences. There is no evidence of acute cord compression or high grade cauda equina compression. Please see additional details above. Further imaging can be considered as clinically indicated. 