 No abnormal enhancement or masses are seen to suggest metastatic disease in the cervical spine. Vertebral body heights are maintained. Mild to moderate degenerative changes are seen in the cervical spine with mild loss of cervical lordosis and small disc osteophyte complexes at the C3-C4, C4-C5, and C5-C6 levels. There is mild associated spinal canal stenosis and mild neural foraminal stenosis at these levels. There is partial ankylosis across the C2-C3 disc space at the level of the right C2-C3 and C3-C4 facet joints. There is trace anterolisthesis of C3 on C4. No cord signal abnormality. Moderate facet arthropathy at the right C4-C5 level.THORACIC SPINE
1. Hypervascular right sacral mass highly suspicious for neoplasm with epidural tumor extension and effacement of the right lateral aspect of the sacral canal. No evidence of pathologic compression fractures or epidural tumor elsewhere in the cervical, thoracic, or lumbar spine.2. Small additional foci of enhancement as described above at T5, T11, T12, L2 and right iliac bones are suspicious for additional foci of metastatic disease. Bone scan may be helpful to assess burden of osseous metastatic disease.3. Multilevel degenerative changes with mild multilevel spinal canal stenosis in the cervical spine and moderate spinal canal stenosis at the L4-L5 level.