New development of difficulty in walking and history of prostate cancer. Multifocal vertebral body signal changes (lower signal intensity on T1) indicating bony metastasis on C3, T4, T5, T6, T9, and L5.Vertebral body deformity indicating compression fracture is seen on T4, T6, T7, T8, T10, T11, T12, L1, L2, L3, L4 and L5 with various degrees.Especially at the level of T6, there are anterior and posterior epidural enhancing soft tissue mass surrounding corresponding level spinal cord with subtle cord signal change indicating spinal cord compression. Enhancing soft tissue encasing right side rib including costochondral junction with evidence of adjacent pleural enhancement were seen at the level of T5, T6, and T7 (subtle) indicating metastatic involvement. There is normal cervical lordosis. The cranial-cervical junction is normal. There is normal thoracic kyphosis and lumbar lordosis. The spine alignment is anatomic. The conus medullaris terminates at the level of L1-L2 level.
1. Evidence of spinal cord compression likely due to metastasis and metastasis related compression fracture at the level of T6.2. Multifocal vertebral body signal changes indicating metastasis.3. Multifocal various degreed vertebral compression fractures as described above.4. Evidence of T5, T6 and T7 ribs and costochondral junction involvement by metastasis as described above.Above information has been discussed with Radiology resident on call Dr.Bennett and Dr.Aisch at 11:11PM.