Multiple myeloma. History of lesions at T3, T6, T7, and T12 suspicious for myeloma. Bone marrow biopsy shows less than 10% plasma cells. There are T2 hyperintense enhancing lesions of variable sizes in the C6, T3, T6-10, T12, and L1 through L5 vertebrae. There is multilevel cervical and lumbar degenerative disease is associated with no significant spinal canal stenosis. Aside from multiple small intravertebral disc herniations, the vertebral body heights and alignment are intact. The spinal cord and cauda equina nerve roots are intact. The paravertebral soft tissues are unremarkable.
1.Multiple enhancing lesion within the vertebral column may represent multiple myeloma deposits, without evidence of pathological fracture. 2.Multilevel cervical and lumbar degenerative disease is associated with no significant spinal canal stenosis.