Female, 69 years old, with spinal level at about T12, fecal incontinence. Evaluate for cord compression. Cervical:Straightening of the cervical lordosis is likely positional. Vertebral body heights are preserved. Marrow signal characteristics are within normal limits. The visualized spinal cord demonstrates normal signal intensity throughout. No epidural lesions are suspected.C2-3: Minimal posterior disc-osteophyte complex formation. No spinal canal or foraminal stenosis. No changes. C3-4: Minimal posterior disc-osteophyte complex formation. No spinal canal or foraminal stenosis. No changes. C4-5: Posterior disc-osteophyte complex formation with a small disc protrusion. Mild spinal canal stenosis. Mild right foraminal narrowing. No changes. C5-6: Posterior disc-osteophyte complex formation and ligamentum flavum thickening. Moderate spinal canal stenosis with slight flattening of the ventral cord. Moderate bilateral foraminal narrowing. No changes.C6-7: Posterior disc-osteophyte complex formation. Ligamentum flavum thickening. Mild spinal canal stenosis. Moderate left and mild right foraminal narrowing. No changes. C7-T1: Posterior disc-osteophyte complex formation. No spinal canal or foraminal stenosis. No changes. Thoracic:Apart from a minimal kyphotic angulation at T11-12, spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. Marrow signal characteristics are unremarkable. The visualized spinal cord is normal in signal intensity. No epidural lesions are suspected. Minimal scattered disc degeneration is seen with no large herniations or areas of significant spinal canal stenosis. The neural foramina are patent as well. A large hepatic cystic lesion is partially visualized on this examination.Lumbar:Alignment is anatomic. Vertebral body height and morphology are within normal limits. Marrow signal characteristics are unremarkable. The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural lesions are seen.L1-2 through L3-4: No significant spinal canal or foraminal stenosis.L4-5: Facet arthropathy and ligamentum flavum thickening. Minimal disc bulging. No significant spinal canal or foraminal stenosis.L5-S1: Facet arthropathy. Mild disc bulging with a small superimposed central protrusion. No spinal canal stenosis. Mild bilateral foraminal narrowing. Findings are slightly progressed from the prior examination.
1.Scattered disc and posterior element degeneration is again seen. These findings are most pronounced in the cervical spine where there are areas of spinal canal stenosis. However, there has been no significant interval change from the prior examination.2.Elsewhere, no significant compromise of the spinal canal or neural foramina is demonstrated. No cord compression is seen. No other specific findings are detected which would account for the patient's symptoms.