Clinical question: Evaluate for cord. Signs and symptoms: Urinary frequency, urgency and incontinence. Nonenhanced lumbar MRI:There is normal anatomical development, alignment and signal intensity of the vertebral column.No spinal stenosis or neural foraminal compromise is detected.There is normal signal intensity and caliber of the lower most visualized thoracic cord, conus and the cauda equina.There is normal termination of cord at L1-L2 level.There is forward movement of the conus and proximal cauda equina on prone sagittal T2-weighted images compared to supine sagittal series.Unremarkable. Spinal soft tissues other than a small single locule cyst in the posterior-superior lateral aspect of the left kidney measuring at 15 x 17 mm in transaxial dimensions.
1.Unremarkable nonenhanced lumbar MRI and without evidence of the cord.2.Incidental note is made of a 15 x 17 mm superficial left renal cyst.