Female, 56 years old, with history of breast cancer and metastases to the brain with left meningeal carcinomatosis, assess for spinal disease. Fine, diffuse leptomeningeal enhancement is seen along the entire spinal cord, the conus and the nerve roots of the cauda equina. Spinal cord morphology is otherwise unremarkable. There is no evidence of significant cord edema. Thick leptomeningeal enhancement is partially visualized along the cerebellum. The CSF along the inferior aspect of the cerebellum may be loculated.No definite evidence of any osseous metastases is seen. T1/T2 hyperintense signal within the T6 vertebral body likely represents a benign hemangioma. Spinal alignment is anatomic and the vertebral body morphology is within normal limits.No significant disc degeneration is seen in the cervical or thoracic spine. In the lumbar spine there is mild disc bulging at L4-5 without significant spinal canal or foraminal stenosis. At L5-S1, facet arthropathy is seen, right side more than left. In addition, there is a bulging disc which results in mild effacement of the ventral thecal sac, moderate left and mild right foraminal narrowing.
1.Findings compatible with diffuse leptomeningeal carcinomatosis along the spinal cord and conus.2.No definite osseous metastatic lesions are seen.3.Disc degeneration and facet arthropathy at L5-S1.