Metastatic prostate cancer presenting with LE weakness and collapse concerning for spinal mets causing cord compression. There is diffuse abnormally low T1 and T2 signal bone marrow signal throughout the vertebrae. There may be slight epidural extension of tumor at C3-4. There also appears to be epidural extension of tumor at multiple levels of thoracic spine, without definite associated spinal cord compression, although assessment is limited by the lack of intravenous contrast. There are disc-osteophyte complexes and facet hypertrophic changes at C3-4 and C4-5, as well as 5 mm of retrolisthesis at C3-4 with associated moderate to severe narrowing of the spinal canal, as well as pronounced neural foraminal narrowing at C2-3 though C4-5 bilaterally. There are milder degenerative changes at C5-6 and C6-7, without significant narrowing of the spinal canal at these levels. The spinal cord displays normal signal characteristics. The vertebral body heights are intact. The paravertebral soft tissues and partly imaged intracranial structures are grossly unremarkable.
1. Diffuse abnormal bone marrow signal throughout the vertebrae is likely related to metastatic disease. Furthermore, there may be slight epidural extension of tumor at C3-4. There also appears to be epidural extension of tumor at multiple levels of the thoracic spine, without definite associated spinal cord compression, although assessment is limited by the lack of intravenous contrast.2. Degenerative spondylosis at C3-4 and C4-5, as well as 5 mm of retrolisthesis at C3-4 with associated moderate to severe narrowing of the spinal canal, as well as pronounced neural foraminal narrowing at C2-3 though C4-5 bilaterally.