Female, 31 years old, with history of metastatic breast cancer and extensive bony metastases complaining of weakness and paresthesias in the lower extremities for three days. Concern for cord compression. Widespread osseous metastatic disease is again seen affecting all spinal levels. Extent of disease appears grossly similar to prior examinations. Scattered mild to moderately compressed vertebral bodies without significant retropulsion are also unchanged.No definite evidence of any cord compression or extrinsic mass effect on the cord is seen. Subtle thickening of the cord and STIR hyperintensity at the T12-L1 level is noted, of uncertain significance.
1.Widespread osseous metastatic disease, grossly similar to prior in terms of extent.2.No definite evidence of extrinsic cord compression.3.An area of subtle cord thickening and STIR hyperintensity is seen at the T12-L1 level. This should be further evaluated with dedicated MR imaging with contrast.