Clinical question:? Cord compression from metastases versus SEA. Signs and symptoms: Back pain and leg weakness worsening. Nonenhanced complete spine MRI: Examination cervical region demonstrate moderate degenerative disk disease and multilevel mild to moderate central spinal stenosis. Note should be made that the examination is performed utilizing cord compression protocol and without dedicated axial images. This flattening deformity of the cord at C3 -- C4 and C5 -- C6 levels without detectable signal abnormality. This appearance is nearly identical to prior study from January of 2015. There is no convincing evidence of metastatic disease of the vertebral column in the cervical region.Examination of the thoracic region demonstrate normal anatomical alignment the vertebral column and without status of the spinal canal or significant neural foraminal compromise. The signal intensity and caliber of the thoracic cord is within normal. The above observations are similar to prior study.Examination of the lumbosacral spine demonstrate degenerative changes of the lower lumber spine with resultant suspected central spinal stenosis at L2 -- L3, L3 -- L4 and L4 -- L5 levels which remain nearly identical to prior exam.Diffuse ill-defined patchy foci of marrow signal changes the vertebral column consistent with known metastatic disease demonstrate no convincing evidence of any significant interval change. There is no evidence of fracture or malalignment and no evidence of perispinal soft tissue masses.There is evidence of mild bilateral pleural effusion.
1.No evidence of fracture or malalignment.2.Degenerative changes of cervical spine results in central spinal stenosis at multiple levels without significant change since prior exam.3.Degenerative changes of lumbar spine results in multilevel central spinal stenosis without significant change since prior exam.4.No detectable cord signal abnormality at any level.5.Diffuse metastatic lesions without convincing evidence of interval change.