 Marked patient motion artifact limits sensitivity of examination.Cervical Spine: There is heterogeneous, low T1 bone marrow signal consistent with osseous metastatic disease. The cervical spine alignment is anatomic. The vertebral body heights are preserved. The signal of the spinal cord is normal. The paraspinal soft tissues are unremarkable. There is no evidence of spinal cord compression or mass. Degenerative changes are specified by the intervertebral level as follows: C2-C3: There is a posterior disc osteophyte complex with no significant spinal stenosis. There is no significant neural foraminal narrowing. C3-C4: There is a posterior disc osteophyte complex with uncovertebral hypertrophy, eccentric to the right with mild spinal stenosis and moderate left and severe right foraminal narrowing.C4-C5: There is no significant neuroforaminal narrowing or spinal stenosis. C5-C6: There is a posterior disc osteophyte complex with a superimposed left lateral bulge. There is mild left neural foraminal narrowing. There is no significant spinal stenosis. C6-C7: There is a posterior disc osteophyte complex and uncovertebral hypertrophy with severe left and moderate right neural foraminal narrowing. There is no significant spinal stenosis. C7-T1: There is no neuroforaminal narrowing or spinal stenosis. Thoracic Spine: There is diffuse heterogeneous low T1 signal consistent with osseous metastatic disease. The thoracic spine is in normal alignment. The vertebral body heights are well-maintained. There is mild multilevel disc desiccation. The spinal cord is of normal caliber and signal. There is no pathological enhancement in the spinal cord. There is no significant disk bulge, herniation, or spinal canal or foraminal stenosis within the thoracic spine. The limited localizer images of the lumbar spine demonstrate additional vertebral metastases with epidural extension at L5 and S1.
1.Widespread osseous metastatic disease. 2.Multilevel cervical spondylosis with mild spinal stenosis at C3-4 and multilevel foraminal narrowing as described above.3.No significant spinal canal or foraminal compromise within the thoracic spine.4. The limited localizer images of the lumbar spine demonstrate additional vertebral metastases with epidural extension at L5 and S1. Please refer to the recent lumbar spine MRI.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.