Pulmonary nodules and brain tumor with left numbness not correlated with left side brain tumor, also hyperreflexic LUE and BLE. There is a peripherally enhancing masa that measures up to approximately 5 cm in the anterior left temporal lobe with surrounding T2 hyperintensity, which may represent vasogenic edema. There is mild left uncal herniation and effacement of the left temporal horn. There is mild midline shift to the left. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a nasopharyngeal retention cyst that measures up to 19 mm in length.Spine: There is degenerative spondylosis at C3 through C6, with mild to moderate spinal canal narrowing. There is also extensive posterior thoracic epidural lipomatosis that markedly narrows the thecal sac and mildly compresses the spinal cord at T6-7. However, the spinal cord signal is within normal limits. There is also degenerative spondylosis at L3 through L5, but no significant spinal canal stenosis. There is scattered fatty infiltration of the vertebral bone marrow and degenerative endplate signal alterations at L4-5, but no evidence of enhancing lesions within the imaged spinal column. The vertebral body heights are preserved. There are nodules in the partially imaged right lung. There is also a partially imaged left hepatic cyst. There are postoperative findings related to aortoiliac bypass.
1. Left anterior temporal lobe mass measuring up to approximately 5 cm may represent a metastasis.2. Degenerative spondylosis at C3 through C6, with mild to moderate spinal canal narrowing. 3. Extensive posterior thoracic epidural lipomatosis that markedly narrows the thecal sac and mildly compresses the spinal cord at T6-7.4. Degenerative spondylosis at L3 through L5, but no significant spinal canal stenosis. 5. No evidence of spine metastases.6. Partially imaged right lung metastases. 7. Partially imaged left hepatic cyst.8. Aneurysmal dilatation of the infrarenal aorta, measuring up to approximately 25 mm in width.