Male, 60 years old, breast cancer with bony lesions in the thoracic spine. Assess for cord compression. Diffuse marrow signal heterogeneity is seen compatible with widespread osseous prostatic disease. There is a partial compression of the L4 vertebral body with only trace retropulsion. No epidural disease spread is seen. No acute cord compression is evident. The lower lumbar spinal canal is narrowed due to a combination of a congenitally slender canal and posterior element hypertrophy.
1.Evidence of widespread osseous metastatic disease.2.Partial compression of the L4 vertebral body without significant retropulsion or associated canal impingement.3.No acute cord compression.4.Narrowing of the lower lumbar spinal canal due to a combination of a congenitally slender canal and posterior element hypertrophy. If clinically warranted, this can be assessed with dedicated lumbar spine imaging.