68-year-old female with multiple myeloma, history of vertebral compression fractures, now with urinary retention. There is diffuse low T1 marrow signal which is nonspecific and may be related to chronic anemia or marrow infiltration related to tumor. There are multiple compression fractures involving the cervical, thoracic, and lumbar spine. There is moderate narrowing of the cervical spinal canal at the C2 level related to retropulsion/dorsally projecting osteophyte at C2. There is compression fracture involving the C7 vertebral body. Multiple thoracic compression fractures are seen including severe loss of height involving the T4 and T9 vertebral bodies. In the lumbar spine, there is compression fracture involving the L4 vertebral body with evidence of vertebroplasty at this level. There is possible T2 hyperintensity involving the cervical cord diffusely versus artifact.There is mild to moderate degree of stenosis involving the cervical and thoracic spine as well as mild to moderate narrowing of the lumbar spine at the L4 level. No significant osseous retropulsion is seen at a particular level to suggest acute cord compression or cauda equina syndrome.
Multiple compression fractures involving the cervical, thoracic, and lumbar spine relatively worse at the T4 and T9 levels where there is severe loss of height. Findings are grossly similar to radiographs from 7/27/2015. There is up to moderate degrees of spinal canal stenosis in the spine at multiple levels including C2, mid to lower cervical spine, and at the T4 and T7 levels in the thoracic spine. There is also mild to moderate degree of spinal canal stenosis at the L4 level.There is possible T2 hyperintensity involving the cervical cord which may be artifactual but is not well evaluated. Please note, due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine and examination is not adequate to assess for cord signal abnormality. No significant osseous retropulsion is seen at a particular level to suggest acute cord compression or cauda equina syndrome but can be correlated with clinical findings. 