History of lung cancer metastatic to the brain, the, weakness, ataxia. Rule out cord compression. Examination is obtained per screening cord compression protocol. No significant stenosis in the cervical, thoracic, or lumbar spine is seen. There is no evidence of cord compression. Sagittal STIR sequence demonstrates abnormal T2 hyperintensity at the C6-C7 level and the T2-T3 level.The vertebral bodies are appropriate in the overall alignment and height. Mild degenerative changes are seen with small disk bulge at the C3-C4 and C4-C5 levels as well as at the L5-S1 level without significant stenosis.
1. This is a limited exam specific for the exclusion of cord compression only and details are not as evident as dedicated protocols of the spine. No cord compression is identified.2. Abnormal T2 hyperintense lesions in the spinal cord at C6-7 and T2-3 levels, which given history and brain MRI findings, are suspicious for intramedullary metastases. Recommend dedicated cervical and thoracic MRI study with gadolinium.Dr. Ali discussed findings with Dr. Wang at 10 am on 3/13/2015.