82 year old male with multiple myeloma and weakness. Evaluate for spinal lesions or cord compression. No evidence of spinal cord compression. There are subtle apparent punctate foci of increased STIR signal in the cervical spinal cord, for instance posterior to the C3-4 vertebral body, which are presumably artifactual and are not well assessed.Multiple small T1 hypointense lesions are seen at multiple vertebral levels including T6, T8 and T9, which are nonspecific and may be related to patient's history of multiple myeloma. There are no large lesions.The oblique T7 vertebral body fracture is again seen without significant loss of height or evidence of edema associated with the fracture to suggest that the fracture is recent. There is normal height of the remaining vertebral bodies in the spine. There is is loss of the cervical lordosis and increased kyphosis of the thoracic spine. There is grade 1 anterolisthesis of L4 on L5 and minimal retrolisthesis of L5 on S1. Multilevel degenerative changes are also seen most prominent in the cervical and lower lumbar spine, which contributes to suspected mild spinal canal stenosis at the L2-3 and L3-4 levels.
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.2.Scattered small T1 hypointense ossific lesions in the thoracic spine, which may relate to patient's history of multiple myeloma. There are no large lesions.3.Oblique linear fracture involving the T7 vertebral body without edema to suggest acuity or significant loss of height.Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.