HI Dr. what does a multifocal patchy and heterogenously enhancing abnormal marrow signal changes involving almost the entire cervicothoracic and lumbosacral spine including the posterior elements in some level, as well as in both iliac bones,with associated enhancing paravertebral soft tissue components at T11 and L3 levels(right side), the former of which demonstrating ipsilateral epidural and paraspinal extension causing mass effect as described means??