Low back pain. Evaluate for cord compression. Cervical spine: The bone marrow signal is diffusely low on the T1-weighted sequence and heterogeneous, with multiple focal lesions suspicious for osseous metastases. Degenerative changes in the cervical spine including small disc osteophyte complexes, particularly at the C3-C4, C4-C5, C5-C6, and C6-C7 levels with up to moderate spinal canal stenosis at this level. There is no definite cord signal abnormality. Vertebral body heights are grossly maintained. No gross evidence of epidural tumor.Thoracic and lumbar spine: The bone marrow signal is diffusely low on the T1-weighted sequence and heterogeneous, with multiple focal lesions suspicious for osseous metastases. Vertebral body heights are grossly maintained. Alignment is grossly maintained aside from grade 1 retrolisthesis of L5 on S1. There are multilevel disc bulges throughout the lumbar spine but without high-grade spinal canal stenosis at any level. There is mild or mild to moderate multilevel neural foraminal stenosis without evidence of higher grade foraminal stenosis on the sagittal images. No evidence of acute cord or cauda equina compression.
1.Diffuse osseous metastatic disease without evidence of acute cord or cauda equina compression.2. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. Due to the screening nature of this protocol, details are not as evident on imaging as dedicated protocols of the spine.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.