Male, 61 years old, with smoldering myeloma, questionable transformation to myeloma. Evaluate for bone lesions. Cervical:Sagittal alignment is unremarkable. Vertebral body morphology and signal characteristics are within normal limits. Specifically, no focal marrow space lesions are identified.Within the limitations of a somewhat degraded image quality, no abnormalities of spinal cord signal or morphology are detected. No epidural lesions are seen.C2-3: Left facet hypertrophy. No significant spinal canal stenosis or neuroforaminal narrowing. C3-4: Left greater than right facet hypertrophy. No significant spinal canal stenosis. Mild left foraminal narrowing. C4-5: Left greater than right facet hypertrophy. Posterior disc-osteophyte complex formation asymmetric to the left. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. C5-6: Left greater than right facet hypertrophy. Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. No significant foraminal narrowing. C6-7: Left greater than right facet hypertrophy. Posterior disc-osteophyte complex formation asymmetric to the right. Mild generalized spinal canal narrowing without cord impingement. No significant foraminal narrowing. C7-T1: Left greater than right facet hypertrophy. No significant spinal canal or foraminal stenosis. Thoracic:A slight scoliotic curvature of the thoracic spine is noted. Sagittal alignment is unremarkable. The thoracic kyphosis is exaggerated which likely reflects mild multilevel anterior vertebral body wedging.Vertebral body marrow signal is within normal limits. Specifically, no focal lesions are seen.The spinal cord is normal in signal intensity and morphology. No epidural lesions are suspected.Mild scattered degenerative disc disease is seen with no areas of high-grade spinal canal or foraminal stenosis.Lumbar:Alignment is anatomic. Vertebral body morphology is within normal limits. Marrow signal characteristics are unremarkable. In particular, no focal lesions are detected.The visualized distal spinal cord, conus and nerve roots of the cauda equina are unremarkable. No epidural lesions are suspected.Facet hypertrophy is evident and becomes progressively more severe at lower lumbar levels, particularly on the right at L5-S1. Mild disc bulging is seen at L2-3, L3-4 and L4-5. No significant spinal canal or foraminal stenosis is identified.
1.No lesions to suggest active myelomatous disease are seen in the cervical, thoracic or lumbar spine.2.Relatively mild degenerative findings as discussed above.