Retention of urine, unspecified [R33.9] / Full incontinence of feces [R15.9]. Renal cell carcinoma, new onset fecal incontinence with decreased rectal tone and urinary retention. There is congenital narrowing of the spinal canal. There is multilevel severe spinal stenosis in the cervical spine, most prominent at C4-5 and C6-7 levels, with indentation of the spine cord, which has progressed since 2012. There is multilevel degenerative disc disease in the thoracic and lumbar spine with multilevel neural foraminal and spinal canal stenosis, but no spinal cord compression in these regions. The spinal cord demonstrates grossly normal signal. There is mild anterolisthesis of C4 over C5. There is mild loss of T6 and L2 vertebral body heights, but no bone marrow edema. There is redemonstration of extensive endplate sclerosis at C6-7 and fusion of C5 and C6. There are multilevel thoracic and lumbar spine intravertebral disc herniations. There is mild lower lumbar and sacral lipomatosis. There is no evidence of spine tumors, within the limits of a non-contrast exam. There is a multinodular thyroid, which has increased in size since 2012. The paravertebral soft tissues are unremarkable.
1. No evidence of spine tumors, within the limits of a non-contrast exam.2. Severe cervical spinal stenosis predominantly C4-5 and C6-7 levels due to degenerative spondylosis superimposed upon congenital narrowing of the spinal canal, with associated indentation of the spine cord. These findings have progressed since 2012.3. Multilevel disc herniations in the thoracic and lumbar spine with associated multilevel neural foraminal and spinal stenosis, but no spinal cord compression in these regions.4. Mild loss of T6 and L2 vertebral body heights, but no bone marrow edema, which may represent chronic insufficiency fractures. 5. Multinodular thyroid, which has increased in size since 2012.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.