#00062336

Sagittal T1 fat saturated post-contrast images of the lumbar spine images through the T12 lesion demonstrate diffusely abnormal signal throughout the visualized marrow, with areas of patchy enhancement corresponding to active myelomatous lesions.  There is extensive spinous process involvement at the T12 level with epidural extension, resulting in severe central spinal canal stenosis and complete effacement of CSF signal in the thecal sac. Mild to moderate compression deformity of T12.