Male, 52 years old, history of thyroid cancer with metastases, compare to prior. Numbering is performed as per prior reports.Thoracic MRI: An enhancing lesion in the left anterior aspect of the T5 vertebral body measures is unchanged from the prior exam. The lesion is associated with mild superior endplate concavity, also unchanged.Lesions within the left transverse process and pars interarticularis of T5 and T6 also show no significant interval change.Instrumented fusion of T10 through T12 is again seen, and the T11 vertebral body remains compressed demonstrating diffusely abnormal signal characteristics compatible with metastatic involvement. Findings are stable.No new lesions are seen. No epidural disease extension is identified. As before, the spinal canal is not significantly narrowed. Mild kyphotic angulation centered at T11 is stable.T1 shortening in the thoracic and lumbar likely related to prior radiation. Increased signal within the T9 and L1 vertebral bodies on fat-suppressed T1 post contrast images is at least in part artifactual and due to metal related failure of fat suppression.Lumbar MRI:A lesion within the right L2 vertebral body is unchanged.A lesion within the left L3 vertebral body is unchanged.A small nonspecific lesion along the left inferior endplate of L4 is unchanged.A lesion in the left L5 vertebral body measures is unchanged.No new lesions are significant epidural disease extension is identified. No spinal canal encroachment or significant foraminal narrowing is detected.Mild degenerative changes are again seen without significant spinal canal or foraminal stenosis, stable in appearance.
1.No significant change in multiple osseous lesions in the thoracic and lumbar spine without significant interval change in size or morphology. 2.No new lesions are detected. 3.No significant epidural disease or spinal canal/foraminal narrowing.