Please evaluate for cord compression: history of cyst and new urinary and stool incontinence. There is mild multilevel degenerative spondylosis of the cervical spine, without evidence of spinal cord compression. There are apparent scattered hyperintensities along the spinal cord on the STIR sequences. There is reversal of the usual cervical lordosis, by no evidence of spondylolisthesis. There is a normal thoracic and lumbar spinal column alignment. There is mild concavity of the superior T11 endplate. The vertebral body heights and bone marrow signal are otherwise grossly intact. There is multilevel degenerative spondylosis in the lumbar spine. In particular, there is a cyst that appears to arise from the right ligamentum flavum and projects into and considerably narrows the spinal canal. There appears to be a left thyroid nodule that measures up to approximately 20 mm.
1. Mild multilevel degenerative spondylosis of the cervical spine, but no evidence of spinal cord compression. 2. Multilevel degenerative spondylosis in the lumbar spine. In particular, there is a cyst that appears to arise from the right ligamentum flavum and projects into and considerably narrows the spinal canal, but does not appear to be significantly changed since 10/27/15. Please refer to the prior lumbar spine report for additional details regarding the degenerative spondylosis. 3. Scattered hyperintensities along the spinal cord on the STIR sequences are likely artifactual, although actual lesions cannot be entirely excluded on this limited exam.4. Apparent left thyroid nodule. A thyroid ultrasound may be useful for further evaluation.