Altered mental status. Found down. Evaluate for fracture. Primary lung cancer with metastasis There are marrow replacing lesions present involving the vertebral body, right pedicle and right lamina of T1, the vertebral body, right pedicle right transverse process, right lamina and spinous process of T2 and the pedicles, right posterolateral vertebral body and spinous process of T3.The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is multilevel disk dessication present.At C2-3 there is no significant compromise to the spinal canal or neural foramina.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.At C5-6 there is no significant compromise to the spinal canal. There are bilateral uncovertebral osteophytes and loss of disk space height at this level. There is narrowing of the neural foramina bilaterally at this level with mild encroachment of the exiting nerve roots bilaterally.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.
1.Lesions are present at T1, T2 and T3 which are suspicious for metastases.2.There are degenerative changes in the cervical spine which are worse at C5-6 where there is mild encroachment of exiting nerve roots.