73-year-old male with urinary retention. Evaluate for cord compression. There is normal lordotic curvature to the cervical spine. There is diffuse T1 dark signal indicating marrow replacement most likely from a history of myelomatous disease. There is no vertebral body height loss in the cervical spine. There are multilevel degenerative changes including variable disc height loss most prominently involving the C6-7 level. There are also multilevel mild disc osteophyte complexes involving the C3-4 through C7-T1 levels. There is no discrete cord signal abnormality or evidence of cord compression in the cervical spine.There is normal kyphotic curvature of the thoracic spine. There is diffuse T1 dark signal indicating marrow replacement most likely from a history of myelomatous disease. There are compression fractures involving the T7, T8, T9 and T11 vertebral bodies but without retropulsion. The vertebral body fracture at the T11 level has approximately 50-75% height loss. The vertebral body fracture at the T7 and T9 levels level have approximately 25-50% % height loss. The vertebral body fractures at the T8 levels have approximately 10 to 25% height loss. There are mild disc bulges at the T7-8 and T9-T10 through T11-12 levels but no spinal canal compromise. There is no discrete cord signal abnormality or evidence of cord compression within the thoracic spine. In the lumbar spine there is diffuse T1 dark signal indicating marrow replacement most likely from a history of myelomatous disease. There are multilevel degenerative changes and grade 1 anterolisthesis of L4 on L5. The remainder of the lumbar spine has lordotic curvature. There is approximately 25-50% vertebral body height loss compression fracture involving the L2 vertebral vertebral body. There is no evidence of retropulsion of the fracture fragments. There is variable disc height loss involving the lumbar spine, most prominent at the L2-3, L4-5 and L5-S1 levels. Epidural thickening is evident beginning at the L1 level and continuing down to L5 which results in significant spinal canal narrowing most notable from L2 through L4.
1.Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.2.Severe spinal canal stenosis in the lumbar region due to circumferential epidural soft tissue with some contribution from adjacent degenerative change. 3.Please see the dedicated pre and post-contrast lumbar spine MRI which has seen become available for further details.