Back pain, urinary incontinence, possible cord compression There is no evidence of acute cord compression or cord signal abnormality on cervical, thoracic and lumbar spine.There is about 5mm x 9.9mm sized ovoid high signal intensity on the right side of L23 facet joint area on STIR images (series 901, image 7/20). This may represent an artifact from adjacent vascular structure especially venous structure but could be an facet joint cyst or subcutaneous cyst. Further evaluation can be obtained with dedicated lumbar spine MRI if clinically indicated.There is normal cervical lordosis. The cranial-cervical junction is normal. There is normal thoracic kyphosis and lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The cord signal is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal stenosis, cord compression or myelopathy. The conus medullaris terminates at the level of T12-L1. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation.
1. No evidence of spinal cord compression.2. An ovoid high signal intensity lesion likely represent either artifacts or facet joint cyst or subcutaneous cyst as described above. If clinically indicated, dedicated lumbar spine MRI can be considered.