Male, 63 years old, with increased falls and decreased sensation in the legs, bowel and bladder incontinence, symptoms over a one to two month period per patient and family. History of prostate cancer, unclear staging. Unclear history prior back surgery. Spinal alignment is anatomic. Vertebral body height and morphology are normal. Marrow signal characteristics and pattern of enhancement are unremarkable. No evidence of metastatic disease is seen.The spinal cord shows normal signal intensity and morphology. No pathologic intramedullary or leptomeningeal enhancement is seen. No intraspinal masses are detected.A very small disk protrusion is seen at T1-2. Mild facet hypertrophy and ligamenta flava thickening is demonstrated at T7-8 and T11-12. No significant spinal canal or neuroforaminal stenosis is detected.Small renal lesions are seen on the left. Note is made of numerous prominent mediastinal and perihilar lymph nodes of uncertain significance.
1. No findings in the thoracic spine to account for the patient's symptoms.2. Note is made of mediastinal and perihilar adenopathy. This adenopathy may have been present as far back as 2010 based on chest x-ray and is therefore of uncertain significance.