Forgetfulness PTC refractory to I131. Increasing pulmonary mets and expansile lesion of C7. The vertebral column alignment is within normal limits. There is an expansile enhancing lesion within the anterior C7 vertebral body, without retropulsion or significant loss of vertebral body height. There is multilevel cervical and lumbar degenerative spondylosis with generally mild spinal canal stenosis, but up to moderate left L5-S1 neural foraminal stenosis. The spinal cord displays normal signal and morphology. The vertebral column alignment is anatomic, aside from slight retrolisthesis of L5 on S1. The paravertebral soft tissues are unremarkable. However, there are multiple pulmonary nodules.
1. Metastatic lesion within the anterior C7 vertebral body without retropulsion. 2. Multiple pulmonary metastases. Please refer to the separate chest CT report for additional details.3. Multilevel cervical and lumbar degenerative spondylosis with generally mild spinal canal stenosis, but up to moderate left L5-S1 neural foraminal stenosis. 