Female, 56 years old, history of BRCA metastatic breast cancer with several weeks of lumbar and thoracic back pain, now with significant lower extremity weakness. No cord compression is seen. In fact, the spinal canal is not significantly compromised at any level. The cord itself demonstrates normal morphology and signal characteristics. No evidence of osseous metastatic disease is seen. A fat-containing lesion within the T6 vertebral body most likely represents a benign hemangioma. Disc degeneration is evident at L5-S1.
1.No evidence of cord compression.2.No evidence of osseous metastases on this limited examination.3.Disc degeneration at L5-S1 can be assessed with nonemergent dedicated lumbar spine imaging if clinically warranted.