Male, 73 years old. Reason: ro cord compression metastatic esophageal cancer. Back pain, le weakness There are no acute compression fractures.Again seen is fusion of the C3-C6 vertebral bodies with associated bony projection into the spinal canal at C3-4 and C5-6 with mild indentation of the cord at the C3-4 level. Again seen is mild cord volume loss at the C5 level with associated focal high T2 signal in the gray matter. These findings are unchanged from and better evaluated on the dedicated cervical spine MR from one day prior.The thoracic spinal canal and neural foramina are grossly preserved.There are mild degenerative changes involving the lumbar spine with mild to moderate neuroforaminal narrowing at L3-4 and endplate edema involving the L5-S1 disc space which may be on a degenerative basis but is incompletely evaluated on nondedicated imaging. There is no significant compromise of the spinal cord at the lumbar level or of the cauda equina.
1.Again seen is fusion of the C3-C6 vertebral bodies with associated moderate spinal canal stenosis at C3-4 and myelomalacia at C5, which are better evaluated on the recent dedicated MR cervical spine exam dated 09/30/2015.2.No evidence of acute cord compression or high-grade stenosis in the cervical, thoracic, or lumbar spine.3.Degenerative changes of the lumbar spine including edema involving the L5-S1 disc which may be on a degenerative basis (versus early infection in the appropriate clinical setting) but is incompletely evaluated. Also noted is bilateral neural foraminal narrowing at L3-L4. Further evaluation with dedicated lumbar spine MR can be considered as clinically indicated.Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.