Decreased rectal tone, Left lower extremity pain and weakness. Reason for study: evaluate for spinal cord compression. The vertebral bodies are appropriate in the overall alignment and height. The spinal cord has normal signal characteristics and overall morphology. There is no acute cord compression. Multilevel spondylotic changes are seen in the cervical and lumbar spine which does narrow the spinal canal in some places. There is a synovial cyst in the right subarticular L4-L5 level which does narrow the spinal canal and was present on previous exam. There is bilateral degenerative advanced facet arthropathy with facet effusion at L4-L5, unchanged. No concerning marrow signal changes.
No acute cord compression is identified. Multilevel degenerative changes noted.