Clinical question: Metastases to lumbar spine, evaluate disease in cervical spine. Signs and symptoms: As above. Nonenhanced cervical MRI:Patient was unable to continue with exam after a suboptimal sagittal T1 and T2-weighted series were acquired. No intravenous contrast was given.This very limited and suboptimal study demonstrate normal anatomical alignment of vertebral column however with mild reversal of cervical lordosis. No evidence of fracture or malalignment and no definitive evidence of metastatic lesion on the acquired images. There is no evidence of a spinal canal compromise at any level. The signal intensity of the cord cannot be assessed due to extensive motion artifact however the caliber of the cord remains within normal and there is no detectable mass effect on the cord.
1.Limited nonenhanced exam is performed due to patient's inability to continue.2.No convincing evidence of metastatic lesion or mass effect on the cord.3.Consider repeat exam when patient's condition permits.