Outside imaging showing right lung mass with invasion of the thoracic spine compromising spinal cord. There is a large right apical lung mass which infiltrates the T1-T4 vertebral bodies including the posterior elements. There is at least moderate degree of height loss associated with compression fractures of T2 and T3 vertebral bodies with osseous retropulsion. There is evidence of epidural tumor encroaching into the spinal canal and causing mild deformity of the thoracic cord. There is also extensive involvement of the right neural foramina at the level of the tumor as well as invasion of the right chest wall. Evidence of left-sided pneumonectomy.Degenerative changes in the cervical spine with moderate stenosis at the C3-C4 level also noted related to disc osteophyte complex and ligamentum flavum thickening. There is straightening of the normal lower thoracic and lumbar curvature. Multilevel degenerative changes are also seen in the lumbar spine with suspected mild to moderate degree of spinal canal stenosis; however no high-grade stenosis involving the lower thoracic or lumbar spine is appreciated.
This is a limited exam specific for the exclusion of cord compression only. There is a large right apical lung mass which infiltrates into the upper thoracic spine, is associated with pathologic compression fractures of the T2 and T3 vertebral bodies, and demonstrates epidural extension with mild deformity of the thoracic cord. Please refer to separate dedicated thoracic spine MRI with contrast report for additional details.Moderate degenerative changes are noted in the cervical and lumbar spine without high-grade spinal canal stenosis.