Urinary retention, lower back pain, new since Saturday No evidence of high-grade spinal canal stenosis in the cervical, thoracic, or lumbar spine. No evidence of cord compression. The vertebral bodies are appropriate in the overall alignment and height. No obvious cord signal abnormality.Mild degenerative changes are seen in the cervical spine without evidence of cord compression. Degenerative changes are noted at the L4-L5 and L5-S1 levels including disc height loss and mild to moderate bilateral neural foraminal stenosis, relatively worse at L5-S1. There is facet arthropathy at L4-L5 and L5-S1. There is mild to moderate spinal canal stenosis at the L4-L5 level. These findings can be better assessed with a dedicated lumbar spine MRI study.
1. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No cord compression or high-grade spinal canal stenosis in the cervical, thoracic, or lumbar spine is identified. Due to the screening nature of this protocol, details are not as evident on imaging as dedicated protocols of the spine.2. Mild to moderate degenerative changes in the lower lumbar spine as described above.