Stage IV endometrial cancer and worsening upper extremity weakness There is no evidence of cord compression or high-grade stenosis in the cervical, thoracic, or lumbar spine. Alignment is maintained.There is a mass involving the at the right spinous/paraspinous T2-T3 level with mild encroachment into the right T2-T3 and T3-T4 neural foramina.There is a destructive osseous lesion involving the left aspect of the L3 vertebral body with extension into the left pedicle. There is mild loss of height in the left aspect of the vertebral body. There is T1 hyperintensity involving the lower thoracic and lumbar vertebral bodies which may be related to prior radiation. There is more diffuse low T1 marrow signal more superiorly. There are mild degenerative changes including disk bulge at T7-T8.There is destructive lesion involving the sacrum at the right S2 level. There is a large sternal mass which is also noted.Right cerebellar lesion and edema is also partially visualized.
1. 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. There is no evidence of cord compression or high-grade stenosis in the cervical, thoracic, or lumbar spine2. Metastatic lesions at right T2-3, left L3, and sacrum which can be further evaluated with dedicated thoracic and lumbar spine studies as clinically indicated. There is some loss of height involving the left aspect of the L3 vertebral body which is also noted on outside CT abdomen study.3. Right cerebellar lesion as well as sternal lesion also noted.