 The cervical spine is in normal alignment, with a normal cervical lordosis. The vertebral body heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no pathological enhancement.Minimal degenerative changes are seen including small disc osteophyte complex at the C6-C7 level, as well as mild ligamentous flavum thickening at the C4-C5, C5-C6, and C6-C7 levels. There is very mild spinal canal stenosis at the C6-C7 level. There is otherwise no significant spinal canal or neural foraminal stenosis at any level.THORACIC SPINE
1. There is an expansile enhancing lesion, highly suspicious for metastasis, involving the T6 spinous process which extends into the lamina and minimally into the dorsal epidural space. There is no significant spinal canal stenosis at this level. Bone scan or PET may be helpful to identify additional osseous metastatic foci, but are not appreciated on the current study.2. Degenerative changes in the mid to lower lumbar spine without significant spinal canal stenosis at any level. There has been mild progression of these changes since prior lumbar spine MRI from 10/22/2012. Please see additional details of the degenerative findings above including neural foraminal narrowing.