 There is no evidence of cord compression or cord signal abnormality. There is heterogeneous bone marrow with multiple vertebral body lesions suspicious for metastases, including one within the C3 vertebral body that demonstrates possible minimal posterior cortical disruption and epidural extension. The vertebral column alignment is within normal limits. There is also more diffuse abnormal low T1 marrow signal which is nonspecific. The vertebral body and disc space heights are grossly preserved. There appear to be lobulated retroperitoneal masses which can be correlated with CT abdomen study.
1. Limited exam per cord compression protocol. There is no evidence of cord compression or high grade spinal canal stenosis. 2. Diffuse osseous metastases, the burden of which can be further evaluated with bone scan or PET. There is questionable epidural extension at C3 without evidence of spinal canal narrowing or cord signal abnormality. Dedicated spine MRI with gadolinium can be considered as clinically indicated. 