 The marrow is diffusely abnormal throughout both the thoracic and lumbar spines. Specifically this demonstrates a marrow infiltration pattern which is diffusely hypointense on T1, and diffusely mildly hyperintense on STIR. There are no acute compression deformities.Thoracic spine:The vertebral body heights and disc spaces are maintained. The spinal cord has a smooth contour and is without focal atrophy, edema, or myelomalacia. There are bilateral pleural effusions, right greater than left.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates no significant disc bulge or cord encroachment. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates no significant disc bulge or cord encroachment. T7/8 demonstrates no significant disc bulge or cord encroachment. T8/9 demonstrates no significant disc bulge or cord encroachment. T9/10 demonstrates no significant disc bulge or cord encroachment.T10/11 demonstrates no significant disc bulge or cord encroachment. T11/12 demonstrates no significant disc bulge or cord encroachment. T12/L1 demonstrates no significant disc bulge or cord encroachment. Lumbar spine:There are no acute fractures. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.Disc desiccation is present L4/5 and L5/S1 with mild disc height loss at L4/5 and moderate disc height loss at L5/S1. There is a small Schmorl's node involving the superior endplate of L5.L1/2: UnremarkableL2/3: Mild facet hypertrophy without stenosisL3/4: Mild facet hypertrophy without stenosisL4/5: Mild disc bulge, ligamentum flavum thickening, mild to moderate bilateral facet hypertrophy, and bilateral facet effusionsL5/S1:Grade 2 anterolisthesis of L5 on S1, diffuse annular disc bulge with disc uncovering, and severe bilateral facet hypertrophy with fusion. There is moderate bilateral neural foraminal stenosis.
1.The marrow is diffusely abnormal throughout both the thoracic and lumbar spines. Specifically this demonstrates a marrow infiltration pattern which is diffusely hypointense on T1, and diffusely mildly hyperintense on STIR. These MRI findings are compatible with a diffuse marrow infiltrative process, consistent with the patient's known history of multiple myeloma.2.There are no acute compression deformities.3.There are bilateral pleural effusions, right greater than left.4.L5/S1:Grade 2 anterolisthesis of L5 on S1, diffuse annular disc bulge with disc uncovering, and severe bilateral facet hypertrophy with fusion. There is moderate bilateral neural foraminal stenosis.