Other disturbances of skin sensation [R20.8] / Malignant neoplasm of unspecified site of left female breast [C50.912], Reason for Study: ^Reason: concern for leptomeningeal disease on lumbar MRI, assess for in brain, cervical, and thoracic spine Brain MRINo evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.Cervical spine MRIThere are multiple low signal intensity vertebral bodies indicating possible sclerotic metastatic lesions involving C4, T2, T3 and T5 vertebral bodies. There is no evidence of cortical disruption or compression fracture.There is no evidence of spinal cord signal abnormality.There is a diffuse bulging of disc at the level of C45 and C6-7 which abuts thecal sac without evidence of spinal canal stenosis.No abnormal enhancement.Thoracic spine MRILow signal intensity lesions replacing normal bone marrow signal at T5, T7, T10T12, L1 and L2 vertebral bodies indicating possible sclerotic metastasis.Similar sclerotic lesions are also seen on bilateral ribs.In particular, the T7 vertebral body shows about 40% compression fracture without evidence retropulsion.There is no MR evidence of bone marrow edema.Spinal cord signal intensity is normal.There is no evidence of spinal canal stenosis.There is no evidence of abnormal enhancement.
1. No evidence of acute ischemic or hemorrhagic lesion. No evidence of abnormal enhancement.2. Multiple vertebral body lesions involving both cervical and thoracic vertebrae indicating multifocal sclerotic bony metastasis.3. No evidence of abnormal enhancement on both cervical and thoracic region.4. Normal spinal cord signal intensity.5. About 40% compression fracture of T5 vertebral body. 