Metastatic breast cancer. At the left lamina and spinous process of C3, there is sclerotic lesion with mild expansion. Subtle changes of similar appearance are also seen at level of C2. The left C2 - C3 facet joint is indistinct. Given the history of breast cancer, metastatic disease needs to be considered, although the lack of significant progression based on comparison of prior MRI is less typical. Degenerative disease is again present, with disc-osteophyte complex at C5-C6 level, causing spinal canal stenosis. There is also neural foramina narrowing bilaterally secondary to degenerative disease of uncovertebral joints.
1. Sclerotic lesions at left lamina and spinous process of C2 and C3 vertebral levels, which can represent metastatic disease, although the reported stability between the two prior MRI studies is unusual.2. Degenerative disease of the cervical spine as described above. Please also correlate with MRI cervical spine.