Female, 69 years old, history of multiple myeloma with new onset hip pain. Cervical:Straightening of the cervical lordosis is seen, likely positional and/or related to disc degeneration. No pathologic marrow enhancement or marrow replacing lesions are seen. Vertebral body heights are preserved. The spinal cord demonstrates normal signal intensity throughout and is free of pathologic enhancement. Disc degeneration is evident at C5-6 and C6-7 where posterior disc osteophyte formation results in mild spinal canal narrowing. The neural foramina are also at least moderately narrowed at these levels.Thoracic:Marrow signal characteristics remain mildly heterogeneous but there are no areas of pathologic enhancement or concerning focal marrow replacement. Alignment is anatomic. Vertebral body heights are preserved. The spinal cord demonstrates normal signal and is free of pathologic enhancement. No significant compromise of the spinal canal or neural foramina is seen.Lumbar:Marrow signal characteristics remain heterogeneous but similar to prior. There are no areas of pathologic marrow enhancement or concerning focal marrow replacement. Alignment is anatomic. Vertebral body heights are preserved. The distal spinal cord, conus and nerve roots of the cauda equina show normal signal and are free of pathologic enhancement.L1-2: Minimal disc bulging. Interval decrease in the size of a left paracentral protrusion. No significant spinal canal or foraminal stenosis. L2-3: Central annular fissure and mild disc bulging. No significant spinal canal stenosis. Mild right foraminal narrowing. L3-4: Facet arthropathy. Ligamentum flavum thickening. Disc bulging. Mild generalized spinal canal narrowing. Moderate bilateral foraminal narrowing. No interval changes. L4-5: Facet arthropathy. Ligamentum flavum thickening. Right foraminal and far lateral disc protrusion. No significant spinal canal stenosis. Mild right foraminal narrowing. No interval changes. L5-S1: Facet arthropathy. Disc bulging. No spinal canal stenosis. Moderate left foraminal narrowing. No interval changes.
1.No evidence to suggest active myelomatous disease in the spine.2.Degenerative findings in the cervical and lumbar regions are redemonstrated without significant interval worsening.