Female, 61 years old, with neck pain and hand weakness. History of metastatic breast cancer. Evaluate for bony metastases. Marrow signal is mildly heterogeneous with scattered foci of T1/T2 hypointense signal. However, no T2 hyperintense or edematous lesions are detected and there is no definite pathologic enhancement. Minimal edema and enhancement along the superior endplate of T3 is nonspecific.The visualized spinal cord demonstrates normal signal intensity throughout. No focal lesions are seen. No pathologic intramedullary or leptomeningeal enhancement is observed. No epidural abnormalities are suspected.C2-3: Right facet hypertrophy. No significant spinal canal or foraminal stenosis. C3-4: Bilateral facet hypertrophy. Ligamentum flavum thickening. Minimal posterior disc-osteophyte complex formation. Mild generalized spinal canal stenosis. Mild left foraminal narrowing. C4-5: Bilateral facet hypertrophy. Ligamentum flavum thickening. Minimal posterior disc-osteophyte complex formation. Mild generalized spinal canal stenosis. Mild left foraminal narrowing.C5-6: Bilateral facet hypertrophy. Posterior disc-osteophyte complex formation asymmetric to the right. Effacement of the right ventral thecal sac with a mild generalized spinal canal stenosis. Severe right and moderate left foraminal narrowing. C6-7: Bilateral facet hypertrophy. No significant spinal canal or foraminal stenosis. C7-T1: No significant spinal canal or foraminal stenosis.
1.No definite evidence of any active osseous or paraspinal metastatic disease is seen. Heterogeneous low signal within the vertebral body marrow could represent treated metastatic disease or may simply be degenerative in nature. Mild edema and enhancement along the superior endplate of T3 is nonspecific.2.Multilevel degenerative findings are noted as described above. For the most part this results in only mild generalized spinal canal stenosis and mild foraminal narrowing. However, at C5-6, the right neural foramen appears to be severely narrowed.