Weakness, decreased urine, constipation There are numerous lesions throughout the cervical, thoracic, lumbar spine and visualized pelvis consistent with diffuse osseous metastases. Vertebral body heights are maintained. There is mild anterolisthesis of T2 and T3. Alignment is otherwise maintained. There is at least moderate cervical spinal canal stenosis at the C3-C4, C4-C5, C5-C6, and C6-C7 levels related to prominent disk osteophyte complexes and ligamentum flavum buckling in the cervical spine. There is possible T2 signal abnormality involving the cervical cord at the C5-C6 level which may represent myomalacia.There is epidural lipomatosis in the thoracic spine which mildly narrows the thoracic spinal canal. In the lumbar spine there are degenerative changes throughout with severe spinal canal stenosis at the L3-L4 and L4-L5 levels on a degenerative basis.
1. Diffuse osseous metastatic disease without findings to suggest acute cord compression from metastatic disease.2. Severe degenerative changes in the cervical and lumbar spine which result in severe spinal canal stenosis at L3-4 and L4-5. There is at least moderate spinal canal stenosis in the cervical spine at C3-C4, C4-C5, C5-C6, and C6-C7 levels. There is possible T2 signal abnormality involving the cervical cord at the C5-C6 level which may represent myelomalacia.3. Please note due to the screening nature of this protocol, details including cord signal abnormality are not as evident as dedicated protocols of the spine. If clinically indicated, consider complete spine MRI study for further evaluation. 