H/o unknown primary with widely metastasis. Examination demonstrates diffuse bony destruction in the thoracic and lumbar spine as well as sacrum with loss of vertebral body height in T2, T12, L1 and L2. It appears that the spinal canal narrows at Levels T2 and L1. Please refer to spine MRI for details of cord compression. Specifically, there is bony destruction in the C7, T1-7, T9-L3, and L5 vertebral bodies and sacrum, in which posterior element destruction is seen in the C7-T3, T12-L3 and L5, and rib destruction is seen at levels T1-T3 and T7. Bilateral effusion is also noted.
Diffuse metastatic disease in the thoracic and lumbar spine as detailed above. spinal canal stenosis at levels T2 and L1, please refer to spine MRI for details of cord compression.  