Reason: cauda equina syndrome, cord compression? History: decreased rectal tone, urinary and fecal incontinence, history of multiple cancers Alignment is anatomic. No abnormal signal within the cord or conus. There is mild endplate depressions at L5 and anterior wedging at T8, otherwise vertebral body heights are maintained. There is multilevel disc desiccation with disc space loss most prominent in the lower thoracic spine at T7-T8 and T8-T9. Schmorl's node is present at T8-T9. There is a broad-based disc bulge at L3-L4, L4-L5 and L5-S1, however no significant narrowing of the spinal canal is present. There is a focus of hyperintense STIR signal and hypointense T1 signal along the right posterior aspect of T4 which questioned correlative heterogeneous lucency on CT chest of 5/11/2015. Otherwise, marrow signal is heterogeneous.
1.No evidence of cord compression.2.Focus of increased STIR and decreased T1 signal in the T4 vertebral body is nonspecific. An atypical hemangioma is favored given the appearance on prior CT, an MRI with contrast may be considered if there is concern for metastatic disease.