History of prostate cancer with new urinary incontinence. Artifact from aortoiliac stent graft limits evaluation of the lower lumbar spine.There are numerous areas of marrow signal abnormality throughout the spine and visualized pelvis consistent with metastatic disease. The vertebral body heights are grossly maintained. There is ankylosis involving the C5 and C6 vertebral bodies. There is complete loss of intervertebral disc space at C5-C6.Multifocal areas of spinal stenosis are demonstrated primarily on the basis of degenerative change. There is at least moderate degree of spinal stenosis at multiple levels, most prominent at C3-C4, C4-C5 and C6-C7 levels. Additional area of relatively higher grade spinal stenosis is demonstrated at the T11-T12 level. No findings to suggest acute cord compression.
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. Diffuse osseous metastatic disease is demonstrated throughout the spine and visualized pelvis without evidence for acute cord compression. There are multiple areas of at least moderate spinal canal stenosis primarily on the basis of degenerative disease in the cervical and lower thoracic spine. MRI of the complete spine with contrast may be considered for further evaluation if there remains clinical suspicion of cord compression.