Bilateral lower extremity weakness. Lumbar spine from September 29, 2015 indicated foraminal stenosis. History of bladder cancer treated with neoadjuvant chemotherapy and then radical cystectomy/ileal conduit in Feb 2015. This is a limited examination performed only in the sagittal plane with T1 and STIR sequences to rule out spinal cord compression. The alignment is anatomic. The vertebral bodies are preserved in height. There is a focus of T1-hypointense, STIR-hyperintense signal in the inferior aspect of T9 vertebral body which is nonspecific. This was not included on the recent lumbar spine MRI examination. Other than degenerative mild to moderate narrowing of the spinal canal at C5-C6, the spinal canal is preserved. Apparent high T2-STIR signal along the cervical spinal cord extending from C3 through C6 is likely artifactual. The spinal cord otherwise displays normal morphology and signal. There is multilevel lumbar spondylosis, including bilateral L5-S1 neural foraminal narrowing caused by a disc-osteophyte complex and facet arthropathy. There is a partially-imaged heterogeneous and lobulated mass in the right side of the pelvis. There is presacral edema.
1.No evidence of spinal cord compression. 2. Partially-imaged large pelvic mass likely represents recurrent tumor. Please refer to the separate pelvis and abdomen CT report for additional details.3. A lesion in the T9 vertebral body is nonspecific, but may represent a metastasis.4. Multilevel degenerative spondylosis in the lumbar spine and cervical spine is otherwise incompletely assessed on this examination.