 Cervical spine:The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.There is exaggerated lordosis of the cervical spine. Diffuse osseous bone marrow abnormalities are noted within the vertebral bodies and as well as many of the pedicles, compatible with diffuse osseous metastases. No evidence of compression fracture, soft tissue extension into the spinal canal or spinal canal narrowing. The cervical cord is normal in signal without abnormal enhancement. Degenerative changes are noted about the cervical spine most severe in C6-7 level where there is disk height loss and a small posterior disk osteophyte complex which does not cause significant spinal canal stenosis. There is facet hypertrophy at the right C5-6 level but no significant neuroforaminal stenosis.Thoracic spine:There is slightly exaggerated thoracic kyphotic curvature. The vertebral body heights are maintained. There are diffuse osseous bone marrow abnormalities indicating metastases within many of the vertebral bodies and pedicles. No evidence of a compression fracture. No soft tissue extension into the spinal canal or significant spinal canal stenosis. The spinal cord has a smooth contour and is without focal atrophy, edema, or myelomalacia. Lumbar spine:Alignment is anatomic. There are diffuse osseous bone marrow abnormalities indicating metastases within many of the vertebral bodies and pedicles. The right T12/L1 and L1/L2 level demonstrates epidural and neuroforaminal osseous tumor extension from the right L1 pedicle. This causes neuroforaminal stenosis at these levels. No spinal canal stenosis. No evidence of a compression fracture. The visualized intra-abdominal and paraspinal contents are unremarkable.
Widespread osseous metastatic disease with right T12/L1 and L1/L2 epidural and neuroforaminal osseous tumor extension from the right L1 pedicle. However, there is no central canal stenosis or cord, conus or cauda equina compression throughout the spine. 