 The cervical spine is in normal alignment, with a normal cervical lordosis. The vertebral body and disk heights are well-maintained. The spinal cord is of normal caliber and signal. There is no pathological epidural or leptomeningeal enhancement. Diffuse low T1 marrow signal is noted which is nonspecific but compatible with known leukemia. Focus of T1 hyperintensity at the T3 level is compatible with a small hemangioma. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the cervical spine. Mild prominence of the cervical lymph nodes is noted and compatible with history of leukemia.THORACIC AND LUMBAR SPINE
1. Findings most compatible with extensive bone infarcts/osteonecrosis involving the T10-S2 vertebra with similar smaller lesions involving the bilateral iliac bones. Vertebral body heights remain grossly maintained although subtle focal endplate depressions are noted at multiple levels. 2. No evidence of cord signal abnormality or epidural or leptomeningeal neoplasm.3. Diffuse low T1 and T2 marrow signal compatible with history of leukemia.