Back pain, urinary incontinence, and poor rectal tone The vertebral bodies in the cervical, thoracic, and lumbar spine are grossly maintained. Alignment is grossly maintained. Advanced degenerative changes are seen in cervical spine with disc osteophyte complexes at C3-C4, C4-C5, C5-C6, and C6-C7, which in association with ligamentum flavum thickening result in moderate to severe spinal canal stenosis. There is abnormal T2 signal suspected at the C4-C5 level which may represent myelomalacia and can be better assessed on dedicated cervical spine imaging.Small disc bulge is seen in the thoracic spine at the T6-T7 level. Moderate endplate marrow signal changes and mild endplate irregularity at the T6-T7 level.Degenerative changes are seen in the lumbar spine with prominence of the dorsal epidural fat. There is up to moderate spinal canal stenosis suspected at the L2-L3, L3-L4, and L4-L5 levels related to prominence of the dorsal epidural fat with superimposed degenerative changes.
Examination is obtained per screening cord compression protocol. There is moderate to severe spinal canal stenosis in the cervical spine on a degenerative basis with suspected cord signal abnormality, which may be related to myelomalacia, at the C4-C5 level. Up to moderate multilevel spinal canal narrowing in the lumbar spine is also noted.Further dedicated imaging of the cervical and lumbar spine was obtained. Please refer to separate report.