 Mild motion artifact and lack of IV contrast limits evaluation of more subtle abnormalities/metastases. However, there is low T1 and heterogeneous T2 signal abnormality in the C7 vertebral body extending into the left pedicle, facet and spinous process, which on the prior PET/CT was hypermetabolic, consistent with osseous metastasis. There is also similar low T1 and high T2 signal abnormality in the left facet of C6 which may be due to degenerative disease and/or a subtle metastasis. The cord caliber and signal are within normal limits.C2-3: Small central disk osteophyte complex with no spinal stenosis.C3-4: Disk osteophyte complex and uncovertebral hypertrophy with mild facet arthropathy causing ventral CSF attenuation with no significant spinal canal stenosis and moderate right neural foraminal stenosis.C4-5: Disk osteophyte complex and bilateral uncovertebral hypertrophy causing moderate spinal canal stenosis and no significant neural foraminal stenosis.C5-6: Disk osteophyte complex eccentric to the left causing focal indentation of the ventral cord surface on the left. There is mild spinal canal stenosis and no significant neural foraminal stenosis.C6-7: Disk osteophyte complex causing no significant spinal no stenosis. There is mild left uncovertebral causing mild left neural foraminal stenosis.C7-T1: Vertebral body metastasis extending into the left pedicle with expansion of the left pedicle (with possible epidural tumor) causing severe left neural foraminal stenosis.T1-2: No disk herniation or spinal stenosis.
1.Vertebral body metastasis at C7 extending into the left pedicle, facet and spinous process. There is expansion of the left pedicle (with possible epidural tumor) causing severe left foraminal stenosis at C7-T1.2.Multilevel cervical spondylosis with moderate spinal canal stenosis at C4-5.3.No definite cord signal abnormality, however the exam is mildly degraded by motion artifact.4.Lack of IV contrast limits evaluation for more subtle abnormalities including metastases.