65-year-old female with lower back pain and history of non-Hodgkin's lymphoma. Evaluate for metastatic involvement. Multiple areas of increased signal are present on STIR sequence. On the right, there is increased signal within the right acetabulum, right femoral head and neck junction, and greater trochanter with extension into the femoral diaphysis. On the left, there is increased signal within the acetabulum, intertrochanteric region, lesser trochanter, and greater trochanter with extension into the diaphysis.There is also extensive increased signal within the sacrum. The L3, L4, and L5 vertebral bodies are also involved.There is enhancement most prominent in the sacrum and lumbar vertebral bodiesCystic foci are present in the ovaries bilaterally.
Widespread metastatic disease in the lumbar spine, pelvis, and femurs as above.