Loss of rectal tone and incontinence. Evaluate for cord compression. Numbering is performed as per prior studies. There is chronic compression deformity involving the anterior T11 vertebral body similar to prior, without associated edema, retropulsion or spinal canal stenosis. There is mild anterolisthesis of C6 on C7 as seen previously. There is mild dextrocurvature at the thoracolumbar junction. The remainder of the vertebral bodies are appropriate in the overall alignment and height. There is moderate spinal canal stenosis noted at the C3-C4, C4-C5, and C5-C6 levels related to disc osteophyte complexes and ligamentum flavum thickening. There is apparent T2/STIR hyperintensity which is not well evaluated and can be better assessed on dedicated cervical spine MRI. Mild degenerative changes in the lower lumbar spine with small disc bulges again seen without significant spinal canal stenosis. There is mild right-sided neural foraminal narrowing at the L4-L5 and L5-S1 levels.
Examination is performed per limited cord compression protocol. There is moderate spinal canal stenosis in the cervical spine at the C3-C4, C4-C5, and C5-C6 levels related to degenerative changes. There is apparent STIR hyperintensity in the cervical cord at the C3 level which may be artifactual but can be better assessed with dedicated cervical spine study. There is otherwise no evidence of cord compression or cauda equina compression.Chronic T11 compression deformity appears similar to prior without associated osseous retropulsion or spinal canal stenosis.