44yo with ESRD on dialysis, extensive lymphadenopathy, has altered mental status and ataxia with h/o reports for stool incontinence There is no evidence of cord compression or cauda equina compression. There is diffuse low T1 marrow signal which may be related to chronic renal disease. There are mild multilevel degenerative changes changes with relatively more prominent disc osteophyte complexes in the cervical spine at the C5-C6 and C6-C7 levels with mild associated narrowing of the spinal canal. There is loss of cervical lordosis. Vertebral body heights and alignment are otherwise maintained.
This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No evidence of cord compression or compression of the cauda equina. Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.