Multiple myeloma with a large lesion on PET impinging on T6/T7: No pain or neurologic deficits. There is an infiltrative, enhancing left posterior chest wall mass with left neural foraminal and epidural extension at theT6-7 level with mild narrowing of the thecal sac, but no spinal cord compression. The vertebral column alignment is within normal limits. There are multilevel small intravertebral disc herniations. The vertebral body heights are otherwise preserved. There is a small focus of left ligamentum flavum calcification that projects into the spinal canal at T10-11, without spinal cord impingement. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There is a small right renal cyst.
Left posterior chest wall multiple myeloma extends into left neural foramen and epidural space at theT6-7 level with mild narrowing of the thecal sac, but no spinal cord compression.