Inflammatory, metabolic/toxic, degenerative brain disease cannot be ruled out. The imaging procedure should be complemented by a CSF examination at least.
The CT of the spine reveals serial severe right-sided and moderate left-sided spondylarthrosis with vertebral roof sclerosis throughout the lumbar spine. Moreover the vertebral endplates and costal junctions are affected by generalized mild to moderate changes. Chronic disc protrusions with a mild myelocompressive effect are present at the thoracolumbar transition and cranial lumbar spine. The combination of changes may explain patient discomfort and/or mild neurologic deficits. A reason for the bladder dysfunction is not obvious. However, the scan does not cover for the lower motor neuron neurolocalization.