Assess for compression, need DWI, suspicion for cord ischemia. Acute loss of lower extremity function. Evaluation of the cervical and thoracic spine is somewhat limited due to motion degradation, however no evidence of cord compression is identified. Please note this exam is inadequate to assess for cord signal abnormality in the cervical and upper/mid thoracic cords.There is abnormal T2 hyperintensity involving the lower thoracic cord from the mid T10 level and extending inferiorly to the conus at the L1-L2 level. There is associated restricted diffusion (sag DWI series 801, image 88; sag ADC series 803 image 84).Mild degenerative changes are seen in the lumbar spine including mild L4-L5 disc bulge and small disc protrusion at L5-S1 level. There is no significant spinal canal or neural foraminal stenosis at any level in the lumbar spine. Vertebral body heights and alignment in the lumbar spine are maintained. There is edema involving the bilateral paraspinous musculature as well as the right iliac is and psoas muscles.Motion degraded cervical spine images demonstrate small disc osteophyte complexes with mild degree of spinal canal stenosis, particularly at C3-C4.Innumerable cysts in the bilateral kidneys.
No evidence of extrinsic cord compressionAbnormal T2 hyperintensity with restricted diffusion involving the lower thoracic cord from the mid T10 level to the conus at the lower L1 level. Finding is most consistent with cord infarct.Nonspecific edema involving the bilateral paraspinous musculature as well as the right iliacus and psoas muscles.