Multiple myeloma and soft tissue involvement of the neck status post radiation therapy to the neck, now with recurrent neck pain and systemic relapse Redemonstrated is exaggerated kyphotic angulation of cervical spine as well as diffuse heterogeneous marrow signal intensity. As before, there is stable mild compression of the C5 vertebral body containing marrow edema and enhancement, although the degree of marrow edema has decreased compared to prior consistent with increasing sclerosis identified on previous x-ray. There are no new compression deformities of the cervical spine. Compression deformity of T5, T6, and T7 are again noted, unchanged in appearance, with evidence of previous vertebroplasty involving T7, stable. There is no new evident epidural soft tissue component. Moderate central and bilateral neural foraminal stenosis at C4/5 and C5/6 is again noted. The cord remains normal in signal.
1.Stable mild compression of the C5 vertebral body containing marrow edema and enhancement, although the degree of marrow edema has decreased compared to prior consistent with increasing sclerosis identified on previous x-ray. 2.There are no new compression deformities. 3.Compression deformities of the upper thoracic spine are stable in appearance.4.There is no new evident epidural soft tissue component.