Acute onset bilateral lower extremity weakness, syncope. Past medical history of prostate cancer. The vertebral bodies are appropriate in the overall alignment and height. The spinal cord has grossly normal signal characteristics and overall morphology. There is developmental narrowing of the cervical spinal canal which along with small disc osteophyte complexes produces at least mild degree of spinal canal stenosis at the C3-C4 and C4-C5 levels. There is however no evidence of acute cord compression. There is also no high-grade spinal canal stenosis in the thoracic or lumbar spine to suggest cord or cauda equina compression.
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 is identified.Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.