Male, 56 years old, with testes cancer and worsening multifocal back pain associated with left leg weakness. Cervical:Alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow replacement or edema is seen. The visualized spinal cord demonstrates normal signal intensity and morphology throughout. No epidural abnormalities are suspected.C2-3: Unremarkable. C3-4: Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis or neuroforaminal narrowing. C4-5: Unremarkable. C5-6: Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis or neuroforaminal narrowing. C6-7: Unremarkable. C7-T1: Unremarkable. Thoracic:Alignment is anatomic. Vertebral body heights are preserved. A focus of T1/T2 hyperintense, STIR suppressing signal within the T7 vertebral body likely represents a benign hemangioma. Diffuse T1/T2 hyperintense, STIR suppressing signal within the T12 vertebral body likely represents treatment related fatty marrow replacement. The visualized spinal cord demonstrates normal signal intensity and morphology. No epidural abnormalities are suspected. The left kidney is atrophic.Lumbar:Anterior wedging of the L1 vertebral body is unchanged dating back at least to 2012. Diffuse fatty replacement of the lumbar vertebral marrow space is unchanged. A Schmorl's node deformity is evident along the inferior L3 endplate. The remaining vertebral bodies demonstrate preservation of height. No new or worrisome marrow signal abnormality is detected. The distal spinal cord, conus and nerve roots of the cauda equina are unremarkable.L1-2: No significant spinal canal stenosis or neuroforaminal narrowing. L2-3: No significant spinal canal stenosis or neuroforaminal narrowing. L3-4: Minimal disc bulging. No significant spinal canal or neuroforaminal stenosis. L4-5: Disc bulging with a central disc protrusion, unchanged from the prior examination. Mild spinal canal narrowing. Mild bilateral foraminal narrowing. L5-S1: Mild facet arthropathy. Mild disc bulging. No significant spinal canal or foraminal stenosis.
1.Mild degenerative findings in the cervical and lumbar regions without high-grade spinal canal or foraminal stenosis.2.Presumed treatment related marrow signal changes in the lumbar region without evidence to suggest new or recurrent metastases.