Male, 60 years old, with likely metastatic cancer, assess for metastases. Most sequences are degraded by motion artifact. Within this limitation, the following observations are made.Patchy areas of high T2/low T1 signal are evident throughout the visualized marrow space including the vertebral bodies and the posterior elements. Vertebral body morphology is otherwise unremarkable. No loss of vertebral body height is seen.A grade 1 anterolisthesis of L4 relative to L5 is demonstrated. Elsewhere, spinal alignment is anatomic.No definite abnormalities of the spinal cord, conus or cauda equina are seen, though again, the examination is limited. No definite evidence of any significant epidural or paraspinal soft tissue encroachment is seen.At T11-12, there is mild disc bulging but no significant spinal canal or foraminal stenosis.At L4-5, there is loss of disc height, disc uncovering and disc bulging which results in a mild narrowing of the spinal canal and moderate bilateral foraminal narrowing.At L5-S1, there is mild disc bulging but no significant spinal canal stenosis. Mild foraminal narrowing is evident bilaterally.Facet hypertrophy is present particularly at lower lumbar levels.Volume loss is evident in the left thorax.
1.Limited examination due to lack of IV contrast and substantial motion artifact.2.Diffuse patchy areas of marrow replacement are seen involving the vertebral bodies and posterior elements of the thoracic and lumbar spine. These findings are compatible with widespread metastatic involvement.3.Accounting for the exam limitations, no definite evidence of any significant epidural or paraspinal disease extension is seen