Known breast cancer patient with metastasis workup. There are multifocal vertebral body lesions likely represent metastasis, specifically, posterior and right side T2 body, T11, L1 body superior endplate, and L2 vertebral body.Nodular and patchy enhancement of conus medullaris, as well as filum terminale on Gad enhanced sagittal scan indicate intra thecal metastasis (series 1501, image 8/15).There is about 10% of chronic vertebral body compression fracture at T7.Spinal cord signal intensity is normal.There is no evidence of spinal canal stenosis or spinal cord compression. There is normal thoracic kyphosis and lumbar lordosis. The spine alignment is anatomic. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing, cord compression, or myelopathy. The conus medullaris terminates at the T12-L1 level. There is a small vertebral body hemangioma at T2 vertebral body.There is about 10mm sized right renal cyst.Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: minimal bulging of disc, no neuroforaminal narrowing or spinal stenosis. L4-L5: diffuse bulging of disc, no neuroforaminal narrowing or spinal stenosis. L5-S1: minimal bulging of disc, no neuroforaminal narrowing or spinal stenosis.
1. No evidence of cord compression.2. Multiple vertebral body metastatic lesions as described above (T2, T11, L1 and L2)3. Nodular and patchy enhancement of conus medullaris and filum terminale indicate intra thecal metastasis.4. Old compression fracture, T7