 Limited images of the spine demonstrate numerous foci of signal abnormality within the visualized osseous structures compatible with widespread osseous metastases. The most prominent lesion involves the T4 vertebral body with extension into the bilateral posterior elements as well as right greater than left epidural extension resulting in significant narrowing of the spinal canal and cord compression. Additional epidural tumor is present at T12 with nearly circumferential narrowing of the spinal canal which also compresses the cord but less severely than at T4.
Widespread spinal osseous metastatic disease resulting in severe narrowing of the spinal canal at T4 with associated cord compression and additional narrowing at T12. Dedicated imaging of the spine without and with contrast can be considered as clinically warranted.