Female, 72 years old, with history of IgA MGUS and questionable cervical myeloma lesion on exam from 2/13. An area of signal abnormality seen on the prior examination within the C3 vertebral body has changed in the interval, becoming less STIR hyperintense and more T1 hyperintense compatible with fatty evolution. Elsewhere, scattered endplate irregularity is seen, likely degenerative in nature, with associated endplate marrow signal alteration. No additional or new areas of concerning marrow replacement or edema are seen.Although image quality on some sequences is degraded by motion artifact, no definite areas of spinal cord signal abnormality are detected.C2-3: Unremarkable. C3-4: Small posterior disk osteophyte. Ventral thecal sac effacement. No significant generalized canal stenosis. No significant neuroforaminal narrowing. No changes. C4-5: Minimal posterior disk osteophyte. No significant spinal canal or foraminal stenosis. No changes.C5-6: Minimal posterior disk osteophyte. No significant spinal canal or foraminal stenosis. No changes.C6-7: Minimal posterior disk osteophyte. No significant spinal canal or foraminal stenosis. No changes.C7-T1: Unremarkable. Mucosal thickening seen within the right maxillary sinus.
Previously identified signal abnormality within the C3 vertebral body has become less edematous and more fatty in signal quality. This may simply represent the evolution of endplate degenerative disease, or possibly a healed/healing lesion related to MGUS. In either case, the interval changes suggest evolution to a less active and more chronic state.