Lower extremity weakness and numbness and history of metastatic RCC. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There are multiple prominent vessels within the iliac bones and sacrum of uncertain significance. The vertebral bone marrow signal is otherwise unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There are multiple partially imaged liver lesions. There is an intrinsically T1 and T2 hyperintense lesion. There are multiple enlarged retroperineal lymph nodes. There are bilateral pleural effusions, right larger than left.
1. No evidence of metastases involving the thoracic or lumbar spine.2. Multiple partially imaged liver metastases.3. Nonspecific left renal lesion, which may represent a hemorrhagic cyst.4. Retroperitoneal lymphadenopathy likely represents metastatic disease.5. Bilateral pleural effusions, right larger than left.