Male, 81 years old, with lower extremity weakness and incontinence. Assess for cord compression. Chronic spinal canal narrowing and cord impingement is seen in the cervical region due to multilevel spondylosis. Elsewhere, no acute cord compression is seen. Mild to moderate narrowing of the spinal canal is demonstrated in the lumbar region due to disc degeneration but otherwise no significant canal compromise is noted. Vertebral body heights are preserved. Alignment is grossly anatomic. The thyroid appears to be enlarged and heterogeneous.
1.No evidence of acute cord compression is seen.2.Multilevel disc degeneration, spinal canal stenosis and cord impingement in the cervical spine will be better assessed on dedicated cervical spine imaging.3.An enlarged heterogeneous thyroid gland is seen which can be evaluated non-emergently with a dedicated ultrasound examination if clinically warranted.