Male, 59 years old, with urinary retention and lower extremity weakness. Evaluate for lumbar spine disease. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. Marrow signal characteristics are heterogeneous, but there are no areas of concerning marrow replacement, enhancement or edema. The visualized distal spinal cord, conus and nerve roots of the cauda equina are likewise normal and free of pathologic enhancement. Degeneration of the SI joints is seen.Bilateral hydronephrosis and hydroureter is seen. The renal cortex appears to be thinned. The bladder is not included within the field-of-view of this examination.L1-2: Unremarkable. L2-3: Mild facet arthropathy. Otherwise unremarkable . L3-4: Mild facet arthropathy. Otherwise unremarkable. L4-5: Mild facet arthropathy. Minimal disc bulging. No spinal canal stenosis. Mild bilateral foraminal narrowing. L5-S1: Facet arthropathy. No significant spinal canal or foraminal stenosis.
1.Relatively mild degenerative findings are seen in the lumbar spine with no areas of significant spinal canal or foraminal stenosis.2.Bilateral hydronephrosis and hydroureter are seen. The lower urinary tract structures are not included within the field-of-view of this examination. Cross-sectional imaging of the pelvis should be considered to assess for the possibility of an obstructing lesion.