35 years Female (DOB:10/18/1980)Reason: brain metastasis, concern for spinal metastasis History: brain metastasis, concern for spinal metastasis PROVIDER/ATTENDING NAME: KWANG JIN CHOI KWANG JIN CHOI MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. No abnormal enhancing lesions are appreciated in the thoracic spine.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging appears to extend down to the L4-5 disc space level. There appears to be a spina bifida defect present.No abnormal enhancing lesions are appreciated in the lumbar spine.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.There appears to be a cystic type lesion anterior lateral to the first sacral segment. This is not clearly defined on this exam.
1.This a limited examination due to the patient's inability to cooperate fully with the exam. Findings suggest tethered cord with a spina bifida defect. If clinically appropriate additional lumbar spine imaging may be of further benefit complete evaluation and confirm this finding.2.There appears to be a cystic type lesion anterior lateral to the first sacral segment. This is not clearly defined on this exam due to motion artifact. Possibility of metastatic disease cannot be excluded. Please correlate with prior imaging studies. There is a CT of the abdomen from 5/4/2016. Please refer to that exam for further comments.