Lung cancer to bone, worsening back pain, weakness. Evaluate for cord compression. There are numerous lesions throughout the spine including the anterior and posterior elements consistent with known metastatic disease. There is mild effacement of the dorsal thecal sac at the C5-C6 level related to tumor involving the posterior elements without evidence of cord compression. Evidence of multilevel decompressive laminectomies in the cervical spine with fusion are noted. There is also no evidence of cord compression in the thoracic or lumbar spine. No obvious cord signal abnormality.
Diffuse osseous metastatic disease throughout the spine. No cord compression is identified.Please note 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. Due to the screening nature of this protocol, details are not as evident on imaging as dedicated protocols of the spine.