66 years Female (DOB:11/1/1950)Reason: rule out History: rule outPROVIDER/ATTENDING NAME: KWANG JIN CHOI The vertebral bodies are appropriate in the overall alignment and height. There are multiple nodules within the thecal sac in the lower thoracic spinal canal and lumbar spinal canal coding the cauda equina and distal spinal cord.There is some T2 signal hyperintensity within the cervical spinal cord extending from C2 inferiorly additionally there appears to be thoracic spinal cord central T2 signal hyperintensity.There are multilevel degenerative changes present in the cervical spine with narrowing of the spinal canal. There are also multilevel degenerative changes present in the thoracic spine worse at T10-T11 related to disc bulge associated with ligamentum flavum hypertrophy and spinal stenosis. There are also degenerative changes present in the lumbar spine with narrowing of the spinal canal at L4-5 and L5-S1.There is a pleural effusion present on the right side associated with the nodules within the right pleural space and there is a mediastinal nodules present.There is patchy marrow replacement throughout many of the visualized spinal vertebrae.
1.Multiple nodular lesions are present throughout the cauda equina and distal spinal cord compatible with the metastatic disease. If clinically appropriate additional imaging may help further evaluate this2.There is abnormal signal within the cervical spinal cord and thoracic spinal cord. Possibility of a cervical cord lesions and thoracic spinal cord lesions and syrinx cannot be excluded. If clinically appropriate additional imaging may help further evaluate this.3.There are multilevel degenerative changes present in the thoracic and cervical spine associated with findings suspicious for spinal stenosis at T10-T11.4.There are multiple nodular lesions throughout the right pleural space and mediastinum. The possibility that these represent neoplasm is suggested is suspected as significantly progressed since prior exams. If clinical appropriate CT of the chest may be of further benefit in evaluating this.5.There is patchy marrow replacement throughout many of the visualized spinal vertebrae. This a nonspecific finding which can be seen with chronic disease, lymphoproliferative disorder, myeloproliferative disorder, anemia, metastases.Findings were reported to the hospitalist service: Dr KWANG JIN CHOI at 8126Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.