 There are extensive osseous metastases, some with soft tissue components extending into the epidural space and neural foramina, particularly involving the thoracic spine and at L4. There is severe central stenosis with cord compression at T5/6, T6/T7, and T8/9 without convincing evidence of cord edema.Moderate degenerative disease of the lower cervical spine with ventral effacement of the thecal sac and cord deformity. Questionable increased T2 signal in the anterior cord at C5/6 may reflect mild edema versus artifact. It is notable that at this level CSF is maintained posteriorly.Greater than 25% height loss of T8 vertebral body, present on chest x-ray two days prior.
1.There are extensive osseous metastases, some with soft tissue components extending into the epidural space and neural foramina.2.There is severe central stenosis with cord compression at T5/6, T6/T7, and T8/9 without convincing evidence of cord edema.3.Segment-specific MRI is recommended if symptomology localizes.