 Alignment of the thoracic spine is anatomic. There is a compression deformity of the T5 vertebral body with unchanged height loss and STIR hyperintensity compared to the prior exam. There are no new acute fractures. The marrow signal is heterogeneous compatible with patient's history of multiple myeloma. Focal fatty bone marrow affects the upper thoracic spine compatible with prior radiation. There is a new small dorsal epidural hematoma at the level of T5 with new associated mild spinal canal stenosis at this level. There is no cord compression or abnormal cord signal. There is no abnormal enhancement. Additionally, there is mild facet arthropathy and ligamentum flavum calcification at T10-11 with mild spinal canal stenosis, unchanged. There is mild bilateral neural foraminal narrowing at T4-5 and T5-6, right greater than left.
1. New small dorsal epidural hematoma at the level of T5 with associated new mild spinal canal stenosis. No evidence of cord compression or cord signal abnormality. 2. Unchanged T5 compression fracture with marrow edema.