 Limited evaluation of the cervical spine with sagittal T1 and STIR sequences per cord compression protocol demonstrates evidence of diffuse metastatic disease. No compression fractures. No obvious epidural tumor. No evidence of cord compression.THORACIC SPINE
1. Diffuse osseous metastatic disease in the cervical, thoracic, and lumbar spine. 2. There are multiple compression fractures throughout the thoracic and lumbar spine with osseous retropulsion and epidural tumor as detailed above. Findings are worst at the T6 level where there is impression and deformity of the thoracic cord related to retropulsion and epidural tumor. No associated cord signal abnormality. Mild spinal canal narrowing is seen at T8, T9, T12 and L3. Allowing for differences in technique, osseous retropulsion and spinal canal narrowing appears similar to prior CT from 10/29/2014.3. Epidural tumor extending into the neural foramina is seen at multiple levels, relatively more prominent at the T6-T7, T12-L1 levels as well as the left L3-L4 level.