Please evaluate for myeloma lesions. The vertebral column alignment is within normal limits. The vertebral body are preserved. The vertebral bone marrow signal is unremarkable, aside from scattered areas of focal fat and endplate signal alterations related to mild degenerative spondylosis lower lumbar spine. In particular, there are bilateral facet joint effusions, bilateral neural foraminal narrowing, and evidence of Baastrup disease at L4-S1. There are also small posterior disc-osteophyte complexes at multiple levels of the cervical spine. However, there is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. There are subcentimeter perineural cysts in the sacral spinal canal. The paravertebral soft tissues are unremarkable.
No evidence of multiple myeloma involving the spinal column.