Male, 55 years old, with worsening lower back pain, history of prostate cancer, assess for cord compression. No acute cord compression is seen. Vertebral body marrow is diffusely and heterogeneously replaced compatible with widespread metastatic disease. However, no evidence of vertebral body compression fracture or significant epidural tumor spread is seen. Alignment is anatomic. A disc osteophyte complex at the C3-4 level results in spinal canal stenosis with deformation of the spinal cord and associated cord T2 signal abnormality.
1.Widespread osseous metastatic disease without evidence of vertebral body compression or acute cord compression.2.A disc osteophyte complex at C3-4 results in spinal canal stenosis with cord impingement and evidence of cord signal abnormality which may reflect myelomalacia and/or edema.