Lower extremity weakness and urinary incontinence There are multiple metastatic lesions in the visualized spine involving the anterior and posterior elements, most prominent in the thoracic spine at the T1, T7, and T8 levels and L4 and L5 levels in the lumbar spine. There is pathologic compression fractures involving the T7 and T8 vertebral bodies as well as the L5 vertebral body. Mild osseous retropulsion at the T8 level results in mild indentation of the ventral thoracic cord at this level with overall mild spinal canal stenosis.There is mild to moderate multilevel spinal canal stenosis in the cervical spine which is on a degenerative basis. No findings to suggest acute cord compression. Epidural tumor from L4-L5 to L5-S1 is better seen on same-day lumbar spine MRI with contrast. Multiple metastatic lesions in the partially imaged pelvis are also noted.
1. Diffuse osseous metastatic disease without evidence of acute cord compression.2. Pathologic compression fractures involving the T7, T8, and L5 vertebrae as seen on recent CT dated 8/31/2016. There is mild osseous retropulsion at the T8 level with overall mild spinal canal stenosis.3. There is epidural tumor from L4-L5 to L5-S1 levels which is better assessed on dedicated lumbar spine MRI with gadolinium study from same day.