Stage IV non-small cell lung adenocarcinoma. There are numerous T1 hypointense lesions through the imaged axial skeleton. However, the vertebral body heights are preserved and there is no significant associated narrowing of the spinal canal. There is a background of high T1 signal in the lower thoracic spine bone marrow suggestive of prior radiation therapy effects. The spinal cord signal and morphology is unremarkable. There is degenerative spondylosis in the lumbar spine with small posterior disc bulges and facet hypertrophy with resultant moderate to severe neural foraminal stenosis at L5-S1 bilaterally. There is a left pleural effusion with consolidation in a portion of the left lung.
1. Numerous metastatic lesions involving the axial skeleton without evidence of associated significant spinal canal stenosis.2. Degenerative spondylosis in the lower lumber spine with moderate to severe neural foraminal stenosis at L5-S1 bilaterally.3. Left pleural effusion with consolidation in a portion of the left lung that likely corresponds to the lung adenocarcinoma. Please refer to the recent chest CT for additional details.