Diffuse metastatic breast cancer, subacute left lower extremity weakness, diarrhea, but good rectal tone. There is evidence of diffuse osseous metastatic disease with signal abnormality involving multiple cervical, thoracic, and lumbar vertebrae. There is also mild involvement of the posterior elements at multiple levels. There is a compression fracture involving the T12 vertebral body with approximately 80% loss of height and no significant osseous retropulsion. Remainder of the vertebral body heights are maintained. There is no high-grade spinal canal stenosis in the cervical, thoracic, or lumbar spine to suggest cord compression or cauda equina compression. No significant neural foraminal stenosis in the lumbar spine is appreciated at any level. No obvious cord signal abnormality. There is mild spinal canal stenosis at the C3-C4 level on degenerative basis related to disc osteophyte complex and ligamentum flavum thickening.
1. Diffuse osseous metastatic disease with severe compression fracture involving the T12 vertebral body.2. No high-grade stenosis in the cervical, thoracic, or lumbar spine to suggest cord compression or cauda equina compression. 3. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.