Disseminated malignant neoplasm. Malignant neoplasm of prostate. Now with weakness. Evaluate for cord compression. There is diffuse heterogenous marrow replacement throughout the spine. There are multilevel degenerative changes in the cervical spine worse at C4-5, C5-6 and C6-7 where there is narrowing of the spinal canal and encroachment of exiting nerve roots.There is a ventral epidural mass at T2 without significant compromise to the spinal canal, however, it encroaches on the right sided exiting nerve roots at T2-3There is an epidural mass centered along the posterior aspect of the spinal canal at T5 which results in effacement of spinal fluid surrounding the spinal cord. There is associated narrowing of the left T4-5 and T5-6 neural foramina with encroachment of the exiting nerve roots.There is a T8 vertebral body malignant appearing compression fracture with 50% loss of height and convex posterior appearance impressing on the thecal sac and narrowing of the spinal canal and near completely effacing spinal fluid around the spinal cord.There is an epidural mass at the ventral aspect of the spinal canal at L5 which narrows the spinal canal and encroaches on the left sided exiting nerve roots.There is a small right sided pleural effusion present
1.This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. There are diffuse spinal metastases present.2.There is a malignant compression fracture at T8 narrowing the spinal canal causing moderate spinal stenosis. 3.There is posterior epidural mass at T5 narrowing the spinal canal and creating moderate spinal stenosis. There is associated narrowing of the left T4-5 and T5-6 neural foramina with encroachment of the exiting nerve roots.4.There is an epidural mass at the ventral aspect of the spinal canal at L5 which narrows the spinal canal and encroaches on the left sided exiting nerve roots.5.There are degenerative changes in the cervical spine causing spinal stenosis and neural foramen encroachment.6.There is a ventral epidural mass at T2 without significant compromise to the spinal canal, however, it encroaches on the right sided exiting nerve roots at T2-37.There is a small right sided pleural effusion present8.An email was sent to Dr Everett Vokes with the results at the time of this dictation.Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.