 The exam is degraded by motion and other artifacts, which considerably limits the evaluation of the thoracic spine. There are diffuse osseous metastases throughout the thoracic spine. There is epidural extension of tumor at the T6 level, which appears to result in spinal cord compression, but no gross signal abnormality in the spinal cord. Due to the limited nature of the exam, more subtle epidural extension of tumor elsewhere in the thoracic spine cannot be excluded. The vertebral body heights are intact and the alignment is anatomic. There is multilevel spondylosis in associated with degenerative changes in the cervical spine with spinal canal stenosis, which is incompletely characterized.
The exam is degraded by motion and artifact but there is widespread metastatic disease involving the imaged axial skeleton with apparent epidural extension of tumor at the T6 level with compression of the spinal cord. More subtle epidural tumor extension may be present at other levels of the thoracic spine, but the exam is limited for detailed assessment of this possibility. Spinal canal stenosis associated with multilevel degenerative cervical spondylosis is incompletely characterized on this exam. Please refer to the recent prior spine MRI report for additional details.The services (Dr. Boyle, pager 1006) was notified of the limited quality of the exam and spread of tumor into the epidural space.