Cord compression, metastasis, right lower extremity weakness There is mild depression involving the superior endplate of the L1 vertebral body without associated bone marrow edema compatible with chronic mild compression fracture. The vertebral bodies are otherwise appropriate in the overall height. There is S-shaped scoliosis with lumbar levoscoliosis with apex at the L1-L2 level. The spinal cord has normal signal characteristics and overall morphology. There is no compromise of the spinal canal. T4 and T7 vertebral body lesions with T1 hyperintensity are compatible with hemangiomas.Degenerative changes are seen in the cervical and lumbar spine. Up to moderate neural foraminal stenosis is suspected at multiple levels in the lumbar spine which can be evaluated with dedicated lumbar spine study. Facet effusion is seen at the right L3-L4 level which may be on a degenerative basis. Tarlov cysts noted at the level of the sacrum.
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 or leptomeningeal disease. No cord compression or evidence of high-grade stenosis in the cervical, thoracic, lumbar spine is identified.2. Mild chronic compression fracture of the L1 vertebral body.3. Degenerative changes in the lumbar spine with up to moderate neural foraminal stenosis in the lumbar spine, consider dedicated lumbar spine MRI for further evaluation if clinically indicated.