Muscle weakness (generalized) [M62.81], Reason for Study: ^Reason: r/o mets/cord compression History: RLE weakness 79 years Male (DOB:7/12/1937)Reason: r/o mets/cord compression History: RLE weaknessPROVIDER/ATTENDING NAME: OMAR JILANI Thoracic spine MRIMultilevel vertebral body metastatic lesions are seen especially at the level of T6,T7,T9,T10 and T11 vertebral bodies.Especially at the level of T7, there are large paraspinal soft tissues as well as epidural extension of soft tissue mass which compresses spinal cord at this level with abnormal signal intensity of spinal cord indicating spinal compressive myelopathy.At the level of T11, the metastatic lesion is involving vertebral body as well as posterior column on the right side with involvement of right side T 1112 neural foramen.L-spine MRIFor the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There are multiple osseous and extraosseous masses are seen which show inhomogeneous signal intensity on T1 and T2 weighted images indicating possible metastatic metastatic lesions.In particular, vertebral body metastasis are seen at the level of T12, L2, L3, L4, L5 and sacral bones. In addition, bilateral highly also show metastatic bony lesions.Extraosseous mass lesions are seen at the level of L2-3, anterior aspect of the right psoas muscle and bilateral gluteal muscles.The vertebral body height is preserved. The conus medullaris terminates at the L1 level.Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: Diffuse bulging of disc. No neuroforaminal narrowing or spinal stenosis. L4-L5: Disc degeneration. Diffuse bulging of disc with bilateral ligamentum flavum thickening results mild spinal stenosis at this level. No neuroforaminal narrowing or spinal stenosis. L5-S1: Diffuse bulging of disc. No neuroforaminal narrowing or spinal stenosis.
1. Multiple vertebral body metastatic lesions including thoracic and lumbar spines as well as sacrum and bilateral ilium.2. Spinal cord compression with the subtle cord signal abnormality at the level of T7 vertebral body due to epidural soft tissue.3. Multifocal extra osseous metastatic lesions including left T7 pleura, right psoas muscle and bilateral gluteus muscles.