Incontinence, weakness. Metastatic prostate cancer. There are multiple vertebral body osseous lesions related to known sclerotic metastases, particularly the L2, L3, and L4 levels with the L3 lesion demonstrating extension involving the posterior elements on the left. Additional small scattered lesions are present more superiorly including T3, T8, and T11 levels as well as inferiorly involving the left iliac bone which is partially imaged. Lesion involving the left-sided posterior elements at the T2 level is also noted. Large left femoral metastases also noted on the coronal survey sequence. There is corresponding sclerosis on recent CT. Burden of osseous metastases is better assessed on recent bone scan. Vertebral body heights are maintained. Alignment is maintained. There is mild developmental narrowing of the spinal canal without high-grade stenosis in the cervical, thoracic, or lumbar spine. No gross evidence of epidural tumor.
1. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No cord compression is identified.2. Multiple scattered osseous metastases, particularly in the lumbar spine. No gross evidence of epidural tumor or pathologic fracture.3. Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.