41-year-old female presents with numbness tingling to the right lower extremity, decreased sensation, and urinary retention; evaluate for cauda equina syndrome. The vertebral bodies are appropriate in the overall alignment and height. The spinal cord has grossly normal signal characteristics and overall morphology. There is no compromise of the spinal cord.There is straightening of the cervical and lumbar lordosis. There is a disc osteophyte complex at C5-C6 with indentation of the ventral thecal sac, but no high grade stenosis.Multilevel thoracic disc bulges and ligamentum flavum thickening which contribute to mild to moderate spinal canal stenosis at several levels, but appear grossly similar to the prior exams. Minimal retrolisthesis at the lumbosacral junction. No gross change in additional multilevel spondylosis of the lumbar spine without high grade spinal canal stenosis. Evaluation of the spinal canal is better assessed on prior dedicated spine studies from 11/2015.
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 or cauda equina compression is identified. 2. Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine. Multilevel spondylosis in the cervical, thoracic, and lumbar spine has not significantly changed since the prior examination and is discussed in detail above.The above findings were discussed with Tifuh Ambah, APN by Arun Nagaraju, MD at 5:15 PM on 10/5/2016.