Reason: r/o cause of urinary retention (?cord compression, but no h/o cancer; has h/o spinal stenosis) History: Urinary Retention Five lumbar type vertebral bodies are presumed to be present. There is a compression fracture at L1 with 30% loss of vertebral height height. Signal characteristics indicate that this is any acute or subacute phase based on low signal on T1 and high signal on T2. There is mild retropulsion with some impression on the ventral aspect of the thecal sac but no associated compression of the conus medullaris. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is loss of disk space height, a broad-based disk extrusion eccentric towards the right with disk material extending behind the L4 vertebral body. There is associated ligamentum flavum and facet hypertrophy as well as mild anterior subluxation of L4 on L5. There is significant narrowing of the thecal sac and encroachment of the right-sided exiting nerve roots within the neural foramen. Compared to the prior exam from 11/15/13 this disk extrusion has progressed and the associated spinal canal stenosis as progressed.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is redemonstration of an enlarged uterus associated with lesions suspected to represent fibroids. The uterus is not completely included on this exam and is not completely evaluated.There is a small cyst in left kidney which was not adequately demonstrated on prior exam due to some of breathing motion on the prior exam.
1.Since the prior exam spinal stenosis at L4-5 due to degenerative changes and subluxation as progressed. There is now moderate to severe spinal stenosis at this level associated encroachment of the right-sided exiting nerve roots.2.There is an acute or subacute compression fracture present at L1 associated mild retropulsion into the spinal canal and narrowing of the spinal canal. The conus medullaris, however, is surrounded by spinal fluid and is not compressed.3.Findings were reported to David Kopelman pager 3658