Female, 60 years old, with history of metastatic esophageal adenocarcinoma and acute onset right foot drop. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits.An enhancing lesion is evident within the T12 vertebral body which shows both T1 and T2 hyperintensity and likely represents a hemangioma, also supported by its appearance on CT. No other areas of concerning or suspicious marrow signal abnormality are seen.The visualized spinal cord, conus and cauda equina are unremarkable except as discussed below.Loss of disc T2 signal is seen through the lumbar spine. In addition, there is mild loss of disc height at L4-5. Additional level specific findings are as follows:L1-2: Unremarkable. L2-3: Mild facet hypertrophy. Minimal bulging disc. No significant spinal canal or neuroforaminal stenosis. L3-4: Mild facet hypertrophy and ligamentum flavum thickening. Minimal bulging disc. Mild to moderate generalized canal stenosis with slight crowding of the cauda equina but no frank impingement. Mild bilateral foraminal narrowing. L4-5: Moderate facet hypertrophy. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. L5-S1: Mild facet hypertrophy. No significant spinal canal or neuroforaminal stenosis.
1.No evidence of metastatic disease to the spine.2.Mild degenerative findings with no areas of high-grade spinal canal or neuroforaminal stenosis. At most, there is a mild to moderate generalized spinal canal stenosis at L3-4 but without frank nerve root impingement.