49 years Female (DOB:3/18/1967)Reason: eval for cord compression History: known metastatic renal cell carcinomaPROVIDER/ATTENDING NAME: IRA J BLUMEN IRA J BLUMEN The vertebral bodies are appropriate in the overall alignment and height. The spinal cord has normal signal characteristics and overall morphology. There is no compromise of the spinal cord.There are some anterior osteophytes present at C6-7 and C7-T1 which are fairly large.Overall the marrow signal is relatively lowThere are degenerative changes present in the lower lumbar spine with disc bulges at L2-3, L3-4, L4-5 and L5-S1Sagittal T1 images of the lumbar spine are partially degraded due to patient motion artifact.The localizer image demonstrates multiple foci of edema within the frontal lobes and left occipital lobe.The right kidney appears to be markedly enlarged and irregular but incompletely evaluated on this exam. Multiple lesions are identified within the lung parenchyma and possibly at the sternal notch.
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. No cord compression is identified.2.Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.3.There are degenerative changes present in the lumbar spine and in the cervical spine there is not appear to be any spinal stenosis.4.There is some marrow replacement present which is rather diffuse. This could be related to anemia or chronic disease.5.Multiple intracranial lesions are present. Please refer to CT of the head from the same date for further comments.6.Enlarged right kidney and multiple pulmonary lesions are present but incompletely imaged on this exam. These are compatible with the patient's known neoplasms. Please refer to CT of the abdomen from April further comments.