Bowel incontinence since the fall yesterday also with poor rectal tone, new since last MRI. Evaluate for cord compression. The vertebral bodies are appropriate in overall alignment and height. The bone marrow is heterogenous with scattered STIR signal abnormality, some or all of which could be due to degenerative disease. Again seen is evidence of an intramedullary lesion at the T7-T8 level which is better characterized on the recent previous whole spine MRI from 10/29/2015. There are endplate signal abnormalities at many levels which more likely represent edematous degenerative disease. There is severe disc height loss of the L4-5 level with a large disc extrusion which causes severe spinal canal stenosis at this level but this appears not significantly changed compared to the prior exam.
1.Redemonstration of cord edema at the T7-8 level which corresponds to the previously seen intramedullary lesion on recent MRI. This does not appear to be significantly changed.2.Severe disc height loss and disc protrusion at the L4-5 level causing severe spinal canal stenosis. There does not appear to be significant change compared to the recent previous MRI exam.3.No change in the degenerative findings at most other lumbar levels.