Metastatic breast cancer, pain and weakness Cervical Spine: Bone marrow signal is within normal limits. No suspicion osseous lesions are seen. Postcontrast sequences are motion degraded, but no pathologic enhancement is definitively appreciated. No evidence of epidural tumor. No pathologic compression fractures. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. The cervical spinal cord has normal signal characteristics and overall morphology.Mild degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: There is disc osteophyte complex and right-sided uncovertebral hypertrophy with minimal narrowing of the spinal canal. There is moderate right and mild to moderate left neural foraminal stenosis.C5-6: There is disc osteophyte complex and bilateral uncovertebral hypertrophy with minimal narrowing of the spinal canal. There is mild to moderate bilateral neural foraminal stenosis.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.Brachial plexus: There is significant motion degradation on multiple brachial plexus sequences. No suspicious enhancement or clumping is demonstrated to suggest neoplastic involvement of the brachial plexi. No extrinsic compressive masses are evident. There is abnormal T2 hyperintensity involving the right C5 nerve root, best seen on coronal series 13 image 22 as well as coronal series 22 image 18. There is apparent T2 hyperintensity involving the right C7 nerve which is favored to be artifactual.
1. Degenerative changes in the cervical spine at C4-C5 and C5-C6 with mild to moderate narrowing of the neural foramina right worse in left as detailed above. There may be associated impingement of the right C5 and right C6 nerve roots. Brachial plexus study is significantly motion degraded however there is abnormal T2 signal involving the right C5 nerve root which is favored to be related to the proximal neural foraminal stenosis.2. No evidence of metastatic disease in this cervical spine. Brachial plexus study is motion degraded however no findings to suggest metastatic involvement of the brachial plexus.