Breast cancer, evaluate for cord compression The vertebral bodies are appropriate in the overall alignment and height. There is multifocal abnormal marrow signal related to osseous metastatic disease, relatively more prominent at the T10, L1, L3, L5, and sacral vertebrae. There is diffuse marrow infiltration involving the L1 vertebra as well as multiple sacral vertebrae. There is suspected narrowing of the left sacral neural foramina related to the tumor. The spinal cord has grossly normal signal characteristics and overall morphology. There is no compromise of the spinal cord or significant stenosis involving the cauda equina in the lumbar spine.Large right pleural effusion partially imaged.
1. Extensive osseous metastatic disease without evidence of pathologic compression fracture or associated cord compression.2. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. 3. Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine. There is suspected narrowing of the sacral neural foramina related to the extensive tumor infiltration of the sacrum, particularly on the left. Additional imaging with contrast can be considered as clinically indicated.