History of prostate cancer and bilateral lower extremity weakness. Rule out cord compression. This is a limited exam secondary to patient motion. Repeated imaging could not be obtained secondary to the patient's refusal to continue the exam. Given this caveat, there is no evidence of acute cord compression.Extensive metastatic osseous disease is again noted throughout the spine. There is no significant loss of vertebral body height. There are multilevel disc bulges in the cervical spine with mild to moderate spinal canal stenosis but this is grossly unchanged compared with the previous dedicated cervical spine MRI from 2/1/2014. Although severely limited by motion, there is some new bulging of an osseous lesion in the posterior L4 vertebral body which causes mild-to-moderate spinal canal stenosis. However there is no evidence of significant cauda equina compression.
1.This is a limited exam secondary to patient motion. Repeated imaging could not be obtained secondary to the patient's refusal to continue the exam. Given this caveat, there is no evidence of acute cord compression.2.Diffuse osseous metastatic lesions in the spine without significant loss of vertebral body height.3.Grossly stable central spinal canal stenosis at the cervical level secondary to degenerative disease. 4.New posterior bulging of an L4 vertebral body lesion which causes mild to moderate spinal canal narrowing.