Multiple myeloma and T9 compression fracture with cord compression. There is redemonstration of numerous diffuse lesions throughout imaged osseous structures of the thoracic spine and ribs. In particular, there is a large lesion involving the T9 vertebral body with an associated at least 50% compression deformity. Furthermore, the lesion extends posteriorly through the posterior border of the vertebral body into the spinal canal with associated spinal cord compression. There are also compression fractures of the T3, T8 , T11, and T12 vertebral bodies, with variable degrees of height loss, but no retropulsion. There is an approximately 50% central compression deformity of the T11 vertebral body without retropulsion or spinal stenosis. The alignment of the vertebral bodies is otherwise preserved. The lung bases demonstrate linear atelectasis versus scarring. The partially imaged bilateral kidneys appear mildly atrophic with perinephric scarring. There is a nonspecific nodule in the partially imaged right thyroid gland.
Extensive multiple myeloma involvement of the imaged axial skeleton with multiple pathologic compression fractures. Notably, the pathological fracture of the T9 vertebral body results in approximately 50% compression deformity and the associated epidural tumor component results in spinal cord compression, which is further delineated on the recent MRI.