History of mycosis fungoides with CNS involvement now s/p 2 cycles of Cytarabine/Etoposide in need of reimaging. CERVICAL SPINE: There is no evidence of mass lesions or abnormal enhancement in the cervical spine. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is multilevel degenerative cervical spondylosis, with a disc-osteophyte complex at C3-4 that abuts the spinal cord and results in mild bilateral neural foraminal narrowing. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.THORACIC SPINE: There is mild residual enhancement of the thoracic nerve roots and cauda equina, although significantly improved since the prior examination. The thoracic spine is in normal alignment. The vertebral body and disc heights are preserved. There is no abnormal marrow signal abnormality. There are is a small disc bulge at the T1-T2 level, small right paracentral disc protrusion at the T2-3 level, a tiny central disc protrusion at the T5-6 level, but there is no significant spinal canal stenosis or neural foraminal narrowing. There are additional degenerative changes involving the T6-7 posterior T11-12, with variable disc height loss and Schmorl's nodes but no significant spinal canal or neural foraminal stenosis at these levels either. LUMBAR SPINE: There is mild residual enhancement of the thoracic nerve roots and cauda equina, although significantly improved since prior examination. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There are small disc bulges at L3-4 and L5-S1, with at most mild bilateral neural foraminal stenosis at L5-S1 and no significant spinal canal stenosis at any level in the lumbar spine.
Mild residual enhancement of the thoracic nerve roots and cauda equina related to lymphoma, although significantly improved since September 2016. 