56-year-old female with history of multiple myeloma presents with weakness/incontinence, evaluate for cord compression. There is redemonstration of multilevel spondylotic changes involving the spine, most pronounced at C4-C5 where there is moderate central spinal canal stenosis and mild indentation of the of the spinal cord. There is no evidence of acute compression. There is no cord signal abnormality. The vertebral bodies are appropriate in the overall alignment and height. Partially imaged sacral plasmocytoma and T7 lesion without gross interval change since the prior examination. High T2 signal in the S2 vertebral body is unchanged.
1. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. 2. Stable mild indentation of the spinal cord at C4-5 without evidence of acute cord compression.3. Grossly stable partially imaged sacral plasmocytoma and T7 lesion.