63 years Female (DOB:8/21/1952)Reason: one weak history of leg weakness, hx of epidural involvement of cancer from 2015, eval for cord compression History: see abovePROVIDER/ATTENDING NAME: OLWEN M HAHN OLWEN M HAHN The vertebral bodies are appropriate in the overall alignment and height. There is no compromise of the spinal cord.There are multiple foci of marrow replacement scattered throughout the patient's spine compatible with metastatic disease. The uterus appears enlarged with multiple lesions. There are some degenerative changes present in the lower lumbar spine with disc bulges at L3-4 L4-5 and L5-S1 which results in some narrowing of the spinal canal.
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.Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.3.Findings suggest skeletal metastases throughout the spine.4.There are degenerative changes present in the lower lumbar spine with some mild narrowing of the spinal canal.5.The uterus appears large with multiple lesions. Please correlate clinical history and symptoms. One possibility is that this represents multiple fibroids