74-year-old male with non-Hodgkin's lymphoma presents after fall with new onset bilateral lower extremity weakness There is mild compression fracture involving the L2 vertebral body with evidence of prior cement augmentation. The remainder of the vertebral bodies are appropriate in the overall alignment and height. No gross cord signal mobility. No evidence of cord compression or cauda equina compression. There is suggestion of marrow infiltration involving the left lateral aspect of the thoracic vertebra at the T5-T7 levels with suspected small amount of epidural tumor extending into the left lateral aspect of the spinal canal and neural foramina.Large left pleural effusion and extensive lymphadenopathy are partially imaged and better assessed on prior CT.
1. This is a limited screening exam specific for the exclusion of cord compression only. No acute cord or cauda equina compression is identified.2. There is suggestion of marrow infiltration involving the left lateral aspects of the T5-T7 thoracic vertebrae with small amount of epidural tumor suspected involving the left lateral aspects of the spinal canal and neural foramina. Recommend dedicated thoracic spine MRI with contrast for better assessment.