Malignant neoplasm of kidney, except pelvis [189.0], Reason for Study: ^Reason: cord compression 2/2 bony mets from RCC History: weakness, pain Previously seen T12 vertebral body enhancing metastatic lesion with compression fracture shows interval progression of compression fracture degree. In addition, the degree of retropulsion appears to be worsen, thus, spinal cord compression has been aggravated since prior scan.The increased signal intensity of spinal cord on STIR images show compressive myelopathy.There are multiple vertebral body lesions indicating metastatic lesions including T3,T4,T7,T8,T9, T11 and L4 but without compression fracture.Spinal alignment is anatomic apart from a mild kyphotic angulation centered at T12. The intervertebral discs are largely preserved with only mild loss of disc height and disc bulging seen at L5-S1. Otherwise, no interval change of minimal degenerative changes of lumbar vertebral discs and Tarlov cyst on the S2 and S3 level since prior exam.
1. Interval aggravation of T12 compression fracture with worsen retropulsion and spinal cord compressive myelopathy.2. Multifocal vertebral body lesions indicating multiple vertebral metastasis.