 There is motion degradation limiting evaluation. However, there is no evidence of cord compression. However, as this exam was tailored only to evaluate for acute cord compression, subtle abnormalities may be inapparent. For the purposes of this dictation, the last well formed disk space is referred to as L5-S1.There is a 28 x 33 mm expansile heterogeneously T2 hyperintense and T1 hypointense mass in the spinous process and lamina of the L1 vertebral body with 5 mm thick posterior epidural tumor extending superiorly up to the low T12 level. There is ventral displacement of the conus and the cauda equina nerve roots without significant edema within the conus. There is additional T2 hyperintense signal abnormality in the L4 spinous process as well. There are scattered foci of T2 hyperintensity in the sacrum, and T8 vertebral body suggesting osseous metastases. There is no evidence of cord signal abnormality or expansion of the cord. There is no significant spinal canal stenosis elsewhere. There is diffuse heterogeneous low T1 osseous marrow signal consistent with osseous metastatic disease.There are degenerative changes in the cervical spine and lumbar spine with disk osteophyte complexes, ligamenta flava thickening causing mild spinal canal stenosis at C3-4 and C5-6.
1.No evidence of acute cord compression.2.Please refer to dedicated accompanying lumbar spine MRI for further details regarding osseous metastatic disease to the lumbar spine.3.Findings were electronically communicated with the clinical service by the radiology on call resident at the time of initial interpretation.