Back pain with urinary incontinence and scrotal tingling. Also, right lower extremity pain. A limited study of noncontrast-enhanced sagittal T1 and STIR sequences were obtained through the spine to rule out cord compression. There is no evidence of spinal cord or cauda equina compression. Apparent diffuse areas of high T2 signal along the spinal cord are likely artifactual. The tip of the conus lies at the L1 level. There is lumbarization of S1. The vertebral body heights are preserved. There is multilevel cervical and thoracic disc desiccation and shallow ventral indentations of the thecal sac, but no significant spinal canal stenosis. There is fluid in the right L5-S1 facet and STIR hyperintensity in the adjacent soft tissue. There is minimal fluid in the right L4-L5 facet. The vertebral bone marrow appears to be mildly heterogeneous, but without evidence of edema or focal tumors. The paravertebral soft tissues are unremarkable.
1.No evidence of spinal cord compression.2.Mild degenerative spondylosis in the cervical, thoracic, and lumbar spine.3.Apparent diffuse areas of high T2 signal along the spinal cord are likely artifactual.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.