61-year-old male with weakness, constipation, new vertebral fractures. History of pleural mesothelioma. There is diffuse, patchy foci of abnormal marrow signal throughout the cervical, thoracic, lumbar, and sacral spine involving the vertebral bodies, ventricles, and posterior elements, likely reflecting known metastatic disease. Mild degenerative changes affect the cervical spine, with grade 1 retrolisthesis of C5 on C6. Again seen are vertebral compression fractures of L3 and L4, likely subacute. There is approximately 50% loss of height in L3 and approximately 25% loss of height in L4. There are also very mild compression deformities of T6 and T8. There is no evidence of retropulsion of fracture fragments or acute malalignment. Normal spinal cord signal is preserved throughout.
No evidence of acute cord compression. Compression fractures are redemonstrated in L3 and L4, likely subacute.