Male, 59 years old, history of smoldering multiple myeloma. Assess for myelomatous lesions. Cervical:No evidence of concerning marrow replacement or pathologic marrow enhancement is seen.The C5 and C6 vertebral bodies are small with a partially formed C5-6 intervertebral disc suggesting congenitally anomalous development. Vertebral body morphology is otherwise unremarkable. Alignment is anatomic.The visualized spinal cord demonstrates normal morphology and signal characteristics. No pathologic intraspinal enhancement is seen.Facet hypertrophy and disc osteophyte formation are evident at C4-5. Mild spinal canal stenosis is seen. Moderate bilateral foraminal narrowing is seen.The other cervical levels are free of significant degenerative disc disease.Thoracic:No evidence of concerning marrow replacement or pathologic marrow enhancement is seen.The visualized spinal cord demonstrates normal signal intensity and morphology. No pathologic intraspinal enhancement is detected.No significant disc disease, spinal canal or neuroforaminal stenosis is seen. Ligamentum flavum thickening is evident on the right at T10-11.Lumbar:The sacral marrow is mildly heterogeneous. However, no definite evidence of concerning marrow replacement or pathologic marrow enhancement is seen.The visualized conus and cauda equina are within normal limits. No pathologic intraspinal enhancement is seen.No significant spinal canal or neuroforaminal stenosis is demonstrated. Mild loss of disc height is evident at L5-S1 with very slight disc bulging.
No findings to suggest active myelomatous lesions in the spine.