70 years Male (DOB:3/23/1946)Reason: chronic back pain, eval for mets History: chronic back pain, eval for mets PROVIDER/ATTENDING NAME: MICHAEL L MAITLAND CHRISTOPHER K DAUGHERTY Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.No abnormal enhancing lesions are appreciated in the cervical spine.At C2-3 there is no significant compromise to the neural foramina. There is a diffuse disc bulge and ligamentum flavum hypertrophy present at this level with partial effacement of spinal fluid ventral and posterior the spinal cord. Overall there is mild to moderate spinal stenosis at this level.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a diffuse disc bulge and ligamentum flavum hypertrophy present at this level with partial effacement of spinal fluid ventral and posterior the spinal cord. Overall there is mild to moderate spinal stenosis at this level.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. At T11-T12 there is a disc bulge associated with ligamentum flavum hypertrophy. There is effacement of spinal fluid ventral and posterior the spinal cord at this level. Overall there is a moderate degree of spinal stenosis at this level.No abnormal enhancing lesions are appreciated in the thoracic spine. Some of the imaging is degraded by patient motion.
1. There is no evidence for skeletal metastasis of the cervical or thoracic spine.2.There are degenerative changes present cervical spine with straightening of the normal cervical curvature and narrowing of the spinal canal at C2-3 and C4-5. Please refer to MRI from 4/29/2016 for further comments.3.There are degenerative changes present thoracic spine with moderate spinal stenosis at T11-T12. Please refer to MRI from 4/29/2016 for further comments.