Female, 72 years old, with back pain, leg weakness and incontinence. Assess for cord compression. No evidence of significant spinal canal stenosis or cord compression is seen. A mild narrowing of the spinal canal is seen at the L5 level secondary to facet and ligamentum flavum hypertrophy.Multiple areas of marrow replacement are seen within the spine including the C7, T9, T12 and L4 vertebral bodies. None of these lesions appears to extend into the epidural or paraspinal spaces. There is no significant loss of vertebral body height allowing for concavity of the inferior T12 endplate which may be degenerative in nature.
1.No evidence of acute cord compression or any other areas of high-grade spinal canal stenosis.2.Areas of marrow replacement are seen within several vertebral bodies compatible with metastatic disease. There is no significant associated epidural or paraspinal disease spread. If clinical concern warrants, findings can be further assessed with dedicated contrast-enhanced spine imaging.