42-year-old female with left leg numbness, weakness and left lower back pain as well as urinary incontinence. Evaluate for cauda equina or 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 compromise of the spinal cord. There are degenerative spondylosis with the most prominent disc osteophyte complex within the cervical spine at the C4-5 level indents the ventral spinal cord, where there may be abnormal high T2 signal versus artifact. There are also disc bulges and facet hypertrophy at the L4-5 and L5-S1 levels bilaterally with mild to moderate neural foraminal narrowing bilaterally, but no significant spinal canal stenosis or cauda equina compression.
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. Degenerative spondylosis at the C4-5 level indents the ventral spinal cord, where there may be abnormal high T2 signal versus artifact. In addition, disc bulges and facet hypertrophy at the L4-5 and L5-S1 levels bilaterally result in mild to moderate neural foraminal narrowing bilaterally, but no significant spinal canal stenosis or cauda equina compression.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.