Patient presents with complaints consistent with spinal cord compression.  Symptoms include [Specify symptoms e.g., back pain, radiculopathy, weakness, numbness, paresthesia, bowel or bladder dysfunction, gait disturbance].  Onset of symptoms was [Onset timeframe e.g., gradual, sudden, following trauma].  Neurological examination reveals [Specific neurological findings e.g., decreased sensation to light touch and pinprick in dermatome X, hyperreflexia, positive Babinski sign, decreased motor strength in myotome Y].  The patient reports [Aggravating or relieving factors e.g., pain exacerbated by movement, relieved by rest].  Medical history is significant for [Relevant medical history e.g., prior spinal surgery, malignancy, osteoporosis, recent infection].  Differential diagnosis includes but is not limited to spinal stenosis, herniated disc, epidural abscess, tumor, fracture, and degenerative disc disease.  Imaging studies including [Specify imaging ordered e.g., MRI of the cervical spine, CT scan of the thoracic spine] were ordered to evaluate for potential causes of compression.  Preliminary impression is spinal cord compression.  Plan is to [Outline treatment plan e.g., consult neurosurgery or orthopedics, initiate high-dose corticosteroids, order further diagnostic testing, pain management, physical therapy referral].  Patient education provided regarding the signs and symptoms of worsening neurological deficits and instructions to return to the emergency department if such symptoms develop.  Continued monitoring and reassessment planned.  ICD-10 code to be confirmed based on imaging and specialist consultation, potential codes include G95.20 (spinal cord compression, unspecified), M48.06 (spinal stenosis, lumbar region), M51.26 (lumbar intervertebral disc disorders with radiculopathy), or other relevant codes.  Medical decision making complexity is [Specify e.g., moderate, high].