Recurrence of pain following relief of symptoms for approximately 8 months following vertebroplasty at L5 and RF ablation of metastatic renal cell carcinoma with painful compression fracture of L2. There are postoperative findings related to vertebroplasty of a compression fracture at L5 and RF ablation of metastatic renal cell carcinoma with compression fracture of L2. There has been interval increase in size of an intermediate T1 and high T2 signal lesion in the left posterior vertebral and pedicle of L2, resulting in marked spinal canal stenosis, in which the cauda equina nerve roots are compressed. There is no significant interval change in the treated L5 vertebra with mild loss of height and high T2 signal surrounding the cement. There is also no significant interval change in the L1 compression fracture with approximately 50 % loss of height. There is a probable small hemangioma in the T6 vertebral body. There are mild superior endplate depressions at T3 and T5. The rest of the vertebral body heights are intact and the alignment is unchanged. There are mild degenerative spondylitis changes in the lumbar spine without associated significant spinal canal or neural foraminal narrowing. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. The right kidney is absent.
Postoperative findings related to vertebroplasty of a compression fracture at L5 and RF ablation of metastatic renal cell carcinoma with compression fracture of L2, with interval increase in size of tumor involving the eft posterior vertebral and pedicle of L2, which results in marked cauda equina nerve root compression. Otherwise, no significant interval change in the L1 and L5 compression fractures, as well as the mild superior endplate depressions at T3 and T5. Assessment for tumor is otherwise limited without contrast.