Back pain, fecal incontinence, with history of prostate cancer. There are low signal lesions involving the T8, T9, T11 and L5 vertebrae. While there is mild epidural extension of tumor into the spinal canal at T11 and left neural foramen, as well as paravertebral extension, there is no evidence spinal cord or cauda equina nerve root compression. There is also apparent metastatic disease involving the mediastinal and prevertebral lymph nodes in the lumbar region, as well as pulmonary metastases. The vertebral body heights are preserved. The spinal cord and cauda equina nerve roots appear to be intact.
1. Metastatic bone lesions involving the T8, T9, T11 and L5 vertebral bodies. While there is mild epidural extension of tumor into the spinal canal at T11 and left neural foramen, there is no evidence spinal cord or cauda equina nerve root compression. However, 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.2. Apparent metastatic disease involving the mediastinal and prevertebral lymph nodes in the lumbar region, as well as pulmonary metastases. Please refer to the prior body CT reports for additional details.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.