Lung cancer with metastasis. Status post radiation for cord compression. Presented with urinary retention. The vertebral column alignment is near-anatomic, aside from mild straightening of the cervical and lumbar lordosis. There are postoperative findings related to T4 and T5 partial corpectomy and posterior fixation hardware from T2 through T8, which created artifact that largely obscures the spinal canal from T2 through T3 and from T4 through T8. Otherwise, there are relatively small ventral and dorsal indentations of the thecal sac by degenerative disc-osteophyte complexes and ligamentum flavum thickening at C5-C6 and C6-C7. There is no abnormal spinal cord signal at these levels, as well as inferior to T8. There is interval increase in size of the T1 hypointense and T2 hyperintense sacral mass that markedly narrows the spinal canal and compresses the S1-S2 and S2-3 sacral foramina, especially on the left side. There is also increase in size of a T1 hypointense and T2 hyperintense lesion in the anterosuperior portion of the L3 vertebral body. There is an incompletely-imaged left thoracic soft tissue mass abutting the aortic arch.
1. Postoperative findings related to T4 and T5 partial corpectomy and posterior fixation hardware from T2 through T8, which created artifact that largely obscures the spinal canal from T2 through T3 and from T4 through T8. 2. Mild indentation of the cervical spinal cord by disc-osteophyte complexes and thickened ligamentum flavum at multilevel level. Otherwise, assessment of the spinal canal in the mid thoracic region is limited by the artifact from the posterior fixation hardware. 3. Interval increase in size of the sacral metastasis with increased spinal canal and sacral foramina narrowing, especially on the left side. Please refer to the separate pelvis MRI report for additional details.4. Interval increase in size of a metastatic lesion in the anterosuperior L3 vertebral body. 5. The left thoracic soft tissue mass abutting the aortic arch is incompletely imaged.