Rule out cord compression. Lower back pain, lower extremity weakness. Multiple small foci of osseous metastatic disease are better appreciated on dedicated complete spine study with contrast. A previously described 10 x 9 mm (AP x craniocaudal) lesion involving the right posterior superior aspect of the T11 vertebral body demonstrates slight enlargement now measuring 15 x 12 mm. Small spinous process lesions involving T5 and T12 are again seen. There is a metastatic lesion involving the sacrum at the right S2 level with epidural extension which is partially imaged and was present previously. No new large infiltrating lesions or obvious epidural tumor is appreciated in the cervical, thoracic, or lumbar spine. No evidence of pathologic compression fractures. No obvious cord signal abnormality within the limits of the study. Alignment is also not significantly changed.Multilevel degenerative changes with mild to moderate spinal canal stenosis in the cervical spine at the C5-C6 and C6-C7 levels again seen. Multilevel degenerative changes in the lumbar spine including moderate spinal canal stenosis at the L4-L5 level is also again seen. These findings are better assessed on prior complete spine study.
1. Limited sequences of the spine were obtained per acute cord compression protocol. No findings to suggest acute cord compression in the cervical, thoracic, or lumbar spine. Sacral lesion with epidural extension is partially imaged.2. Multiple small metastatic lesions in the spine are also again seen and better assessed on prior dedicated complete spine MRI from 3/4/2016. There is evidence of slight interval enlargement of a relatively small T11 vertebral body lesion. 3. Degenerative changes including mild to moderate stenosis in the cervical spine and moderate spinal canal stenosis at the L4-L5 level are also again seen. 4. Note due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine. 