Reason: evaluate if lymphoma causing lower extremity weakness History: LE weakness, numbness The thoracic vertebral bodies are appropriate in the overall alignment. There is an infiltrating mass present in the left perivertebral space extending from approximately T6 down to T8 which infiltrates from the left pleural space and to the left perivertebral space through the left T6-7, T7-8 and T8-9 neural foramina into the spinal canal and into the epidural space where it surrounds and encases the thecal sac and effaces spinal fluid surrounding the spinal cord. Spinal cord is displaced toward the right and deformed at this level. There is associated infiltration into the adjacent osseous structures along the left pedicles and posterior elements of T7 and T8 as well as the left posterior inferior aspect of the T6 vertebral body and the left posterior lateral aspect of the T7 and T8 vertebral bodies.There is a right sided pleural effusion and pleural thickening present. This extends along the right lung apex and through the adjacent ribs.Visualized portions of the thyroid gland appear enlargedNew marrow replacing lesions are present within the thoracic spine at T2 and T4.There is a mild compression fracture present at L1.Findings suggest a hiatal hernia .
1.There is an infiltrating left paraspinous mass present extending from T6 through T8 which infiltrated into the T6, T7 and T8 vertebrae and extends through the neural foramina into the spinal canal where it encases the thecal sac and compresses and displaces the spinal cord. It is suspicious for metastatic disease.2.Osseous-based lesions are present at T2 and T4 are consistent with metastatic disease.3.There is a right-sided pleural-based thickening present which extends to through adjacent ribs especially at the right lung apex. Please refer to CT of the soft tissues of the neck and chest from 1/ 8/15 for further comments.4.There is a mild compression fracture present at L1.5.There is thyromegaly present6.There is a hiatal hernia present7.Findings were discussed with the clinical service.