80-year-old male with bilateral lower extremity weakness with history of metastatic prostate cancer. There is no evidence of acute spinal cord compression. No definite cord signal abnormality is identified. There are multiple levels of moderate to severe spinal canal stenosis and neural foraminal narrowing suggested in the cervical and lumbar spine on a degenerative basis. These would be better evaluated on complete spine MRI. Abnormal bone marrow signal is demonstrated at multiple levels, compatible with known osseous metastatic disease including C2, T7, and L4. There appears to be transitional anatomy at the lumbosacral junction with lumbarization of S1.
This is a limited exam specific for the exclusion of acute cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No acute cord compression is identified.Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.