Evaluate for leptomeningeal carcinomatosis versus metastases: Weakness and prostate cancer. The lack of contrast limits the assessment for neoplasm. The vertebral bone marrow appears to be unremarkable. There is no evidence of gross intraspinal mass lesions, within the limits of the technique. There is no evidence of abnormal signal in the spinal cord. There is multilevel degenerative spondylosis in the cervical spine with moderate spinal canal stenosis. There is also lower lumbar spine degenerative spondylosis with moderate spinal canal stenosis at L4-5.
1. No evidence of metastases involving the imaged axial skeleton, although the assessment is limited by the lack of intravenous contrast. Likewise, assessment for leptomeningeal carcinomatosis is vastly limited without contrast.2. Multilevel degenerative spondylosis in the cervical spine with moderate spinal canal stenosis and lower lumbar spine degenerative spondylosis with moderate spinal canal stenosis at L4-5. 