Male, 68 years old, with low back pain on minimal exertion. Evaluate for cord compression. History of newly diagnosed metastatic esophageal adenocarcinoma. Diffuse marrow heterogeneity is seen compatible with widespread osseous metastatic disease. Superimposed degenerative endplate signal abnormality is also seen at L4-5. There is a very slight anterior wedging of the T11 vertebral body. Otherwise, vertebral body heights are preserved in the lumbar spine. A trace retrolisthesis of L4 relative to L5 is seen. Otherwise, alignment is anatomic.The visualized distal spinal cord, conus and nerve roots of the cauda equina are unremarkable. No epidural abnormalities are suspected.L1-2: No significant spinal canal stenosis or neuroforaminal narrowing. L2-3: Facet arthropathy and ligamentum flavum thickening. Disc bulging. Mild spinal canal narrowing. Mild bilateral foraminal narrowing. L3-4: Facet arthropathy. Bulging disc. Mild spinal canal narrowing. Moderate bilateral foraminal narrowing. L4-5: Facet arthropathy. Bulging disc. Mild spinal canal narrowing. Moderate left and mild right foraminal narrowing. L5-S1: Facet arthropathy. No significant spinal canal stenosis. Moderate bilateral foraminal narrowing.
1.Diffuse marrow heterogeneity is seen compatible with widespread osseous metastases. No significant compression deformities are seen.2.No evidence of cord compression or any epidural or intrathecal tumor is seen. 3.Multilevel degenerative findings are seen as discussed above.