Gait disorder, history of radiation therapy for metastatic testicular cancer. Examination is limited by motion artifact, particularly the postcontrast images. The thoracic spine is in normal alignment. There is redemonstration of a mild chronic compression fracture of the L2 vertebral body, predominantly on the left, without significant change from the MRI on 7/20/2016. The thoracic vertebral body heights are otherwise well-maintained. There is an area of increased T1 and T2 signal in the T9 vertebral body most likely representing a hemangioma. No suspicious osseous lesions in the thoracic spine are appreciated. There is T1 shortening in the lumbar spine which is likely related to prior radiation.There are mild degenerative changes in the thoracic spine including a small central disc protrusion at the T7-T8 level and small right paracentral disc protrusion at the T10-T11 level. There is no significant spinal canal or neural foraminal stenosis at any level. There is no gross spinal cord signal abnormality within the limits of mild motion degraded T2 weighted sequences. Degenerative changes in the lumbar spine including disc protrusions in the upper lumbar spine are partially imaged. Please refer to recent MRI lumbar spine report from 7/20/2016 for further details.
1. Motion degraded exam without gross signal abnormality in the thoracic cord or evidence of significant spinal canal stenosis in the thoracic spine. 2. Postcontrast images are severely motion limited which limits evaluation for small metastases. There is however no gross marrow signal abnormality to suggest metastatic disease.3. Chronic mild compression fracture of the L2 vertebral body without significant change from MRI on 7/20/2016.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.