Male, 60 years old, with history of cord contusion status post kyphoplasty with history of T5 fracture due to myeloma. A moderate compression deformity of the T5 vertebral body appears similar to the prior examination. There is no significant retropulsion. T5 vertebral body marrow signal characteristics are similar to that seen on the prior examination.Slight encroachment upon the left dorsal epidural space at T5 seen on the prior examination due to osseous fracturing is improved. A small focus of T2 hyperintensity seen within the left lateral cord at T5 which may represent myelomalacia corresponding to a site of edema on the prior study.Small foci of marrow replacement are seen within the T3-T9 vertebral bodies, most or all of which have progressed when compared to the prior examination. Paraspinal masses along the left aspect of the T9 vertebral body, and along the right aspect of the T11 vertebral body have increased in size. Patchy airspace opacity is seen in the right lung.Mild exaggeration of the thoracic kyphosis is seen centered at the T5 compression deformity. Sagittal alignment is otherwise unremarkable. Scattered small disc protrusions have not significantly changed. No high-grade spinal canal stenosis is seen. Mild bilateral foraminal narrowing at T4-5 and T5-6 is noted .
1.No significant change in the severity of the T5 compression deformity.2.No significant spinal canal compromise is seen at this location.3.A small focus of signal abnormality within the left lateral cord at T5 may reflect myelomalacia from prior injury.4.No new compression deformities are seen. However, numerous foci of marrow replacement in the midthoracic spine are identified concerning for sites of myelomatous disease, most or all of which have progressed from prior. Paraspinal masses in the lower thoracic region have also progressed.