72 years Female (DOB:2/8/1944)Reason: L4 Lytic lesion, h/o breast ca History: back painPROVIDER/ATTENDING NAME: DIANE B CHANEY DIANE B CHANEY There are multiple marrow replacing lesions throughout the visualized lumbar and thoracic spine as well as the lower cervical spine. There is a large spinous process lesion at T4 and some of the larger lesions are located at C6, C7, T5, L5, L4, L2, L1, T12 with smaller lesions elsewhere. Additional lesions are present in the sacrum.There is no convincing evidence for cord compression. There are multilevel degenerative changes in the thoracic spine with the disc bulges at multiple thoracic levels but without any spinal stenosis. There are also degenerative changes present in the lumbar spine with diffuse disc bulges at L4-5 and L5-S1 associated with narrowing of the neural foramina at L5-S1. T2 signal hyperintensity within the L5-S1 disc is present.The vertebral bodies are appropriate in the overall alignment and height. The spinal cord has normal signal characteristics and overall morphology. There is no compromise of the spinal cord.
1.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. No cord compression is identified. Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.2.There are multiple marrow replacing lesions throughout the visualized spine compatible with metastatic disease.3.There are degenerative changes present in the thoracic and lumbar spine without significant compromise to the spinal canal.