Metastatic colorectal cancer. Evaluate for spine lesions. The vertebral bodies are appropriate in the overall alignment and height. Bone marrow signal is mildly heterogeneous without large destructive lesions appreciated. T1 hyperintensity involving the thoracic vertebral bodies likely related to prior thoracic radiation. No evidence of cord compression or compression of the cauda equina nerve roots is seen. Mild degenerative changes are evident including small disc herniations at C6-C7, T8-T9, T9-T10, and L5-S1 with up to mild spinal canal stenosis.Prominent venous flow-voids are noted involving the paraspinous soft tissues. Left pleural effusion.
No evidence of high-grade spinal canal stenosis is identified in the cervical, thoracic, or lumbar spine. No large metastatic osseous lesions are evident. No compression fractures. No evidence of cord compression.This is a limited exam specific for the exclusion of cord compression only and does not exclude small lesions or intrinsic cord abnormalities. Due to the screening nature of this protocol, details are not as evident on imaging as dedicated protocols of the spine.