Progressive lower extremity weakness. Multiple intracranial metastases. Evaluate for cord compression. There is no evidence of cord compression. Vertebral body heights in the cervical, thoracic, and lumbar spine are normal. No large infiltrating or destructive osseous lesion is evident. There is a 9 mm nonspecific osseous lesion involving the L4 vertebral body. There is reversal of cervical lordosis with mild degenerative changes including small disc osteophyte complexes from C3-C4 to C6-C7. There is fairly mild associated spinal canal narrowing. No significant spinal canal or neural foraminal stenosis in the thoracic or lumbar spine is appreciable. No obvious cord signal abnormality.
1. No evidence of compression of the spinal cord or cauda equina.2. 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. Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.3. Nonspecific 9 mm osseous lesion involving the L4 vertebral body.