Plasma cell dyscrasia and spinal lesions concerning for myeloma. There is no significant change in the T2 hyperintense enhancing lesions of variable sizes in the C6, T3, T6-10, T12, and L1 through L5 vertebrae. There is multilevel cervical, thoracic, and lumbar degenerative disease with no significant spinal canal stenosis. Aside from multiple small intravertebral disc herniations, the vertebral body heights and alignment are intact. The spinal cord and cauda equina nerve roots are intact. The paravertebral soft tissues are unremarkable.
1. Multifocal T2 hyperintense, enhancing lesions compatible with myelomatous involvement, without significant interval change or evidence of pathological fractures.2. Multilevel degenerative disease without significant spinal canal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.