Clinical question: Rule out cauda equina. Signs and symptoms: Back pain, lumbar pain, urinary incontinence. Non-enhanced total spine MRI:This examination is performed as a work compression protocol and no axial images were acquired. Images through the cervical region on sagittal plane demonstrate normal anatomical alignment and signal intensity of the vertebral column. Degenerative changes results in multilevel mild central spinal stenosis without significant change since prior exam from 2014. There is a small focus of T2 hyperintensity likely representing myelomalacia in the right aspect of cord at C4 -- C5 level without interval change since prior exam from 2014.Images through the thoracic region demonstrate normal signal intensity and alignment the vertebral column. There is mild exaggeration of thoracic kyphosis similar to prior exam.There is normal signal intensity and caliber of the cord and without evidence of any mass effect on the cord.Sagittal images through the lumbosacral spine demonstrate and post operative changes of posterior laminectomy at L3 and L4 levels. There is no evidence of spinal canal compromise at any level and no evidence of mass effect on the cauda equina or conus.
No evidence of cord compression. Revisualization of a small focus of cord T2 hyperintensity likely myelomalacia in the right side of the cord at C4 -- C5 without change since 2014 exam.