50 years Male (DOB: 7/7/1965)Reason: Evaluate for urinary retention x 3 months; thus far MRI L spine has been completed but no signs of cord compression History: Evaluate for urinary retention x 3 months; thus far MRI L spine has been completed but no signs of cord compressionPROVIDER/ATTENDING NAME: RIMAS V LUKAS RIMAS V LUKAS MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRI cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal. There is a disc bulge present at this level associated with some disc desiccation and right-sided uncovertebral osteophytes with narrowing of the neural foramina worse on the right than the left side. There is some encroachment of the exiting nerve roots on the right side.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is a disc bulge at this level associated with uncovertebral osteophytes and some endplate osteophytes and narrowing of the neural foramina bilaterally with encroachment of the exiting nerve roots within the neural foramina bilaterally worse on the left than the right side.At C7-T1 there is no significant compromise to the spinal canal. There is a right-sided small perineural cyst present measuring 5 mm in diameter within the outlet of the right neural foramen.The vertebral artery flow voids appear to be intact.Thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. There is a T1 hyperintense lesion within the posterior and inferior aspect of the right half of the T6 vertebral body. Most likely this represents a hemangioma.
1.There are degenerative changes present in the cervical spine worse at C3-4 and C6-7 where there is encroachment of exiting nerve roots within the neural foramina as detailed above.2.There are no findings which explain the patient's urinary retention on the basis of this exam.3.There is no compromise to the thoracic spinal canal or exiting nerve roots. There are no abnormal lesions thoracic spinal cord appreciated.4.No abnormal mass lesions are appreciated within the brain parenchyma.