73-year-old male with right arm stiffness, concern for cord compression. Limited exam redemonstrates diffuse bone marrow signal abnormality throughout the cervical spine, consistent with extensive osseous metastatic disease. In particular, a lesion in the C6 vertebral body demonstrates retropulsion and mass effect upon the spinal cord and bilateral neural foraminal stenosis. However, there is no definite evidence of spinal cord signal abnormality. There is also foci of ligamentum flavum calcification with associated mild spinal canal stenosis at C7 and T2. The vertebral alignment and vertebral body heights are grossly preserved.
Extremely limited exam redemonstrates diffuse osseous metastatic disease with compression of the spinal cord at C6, which is otherwise incompletely characterized. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.