44 years Female (DOB:6/6/1971)Reason: metastatic breast cancer, known disease T7 and T8 History: worse pain and increased uptake on PET scanPROVIDER/ATTENDING NAME: GINI FLEMING GINI FLEMING There is redemonstration of a marrow replacing lesions within the T6 and T7 vertebral segments. These are associated with some heterogeneous enhancement.At T6 there is a marrow replacing lesion along the right posterior aspect of the T6 vertebral body which extends into the right pedicle and also involves the right transverse process and right lamina. Compared to the previous exam this become a little more extensive.At the T7 there is a marrow replacing lesion involving the right pedicle, right lamina part of the right transverse process and the posterior lateral aspect of the vertebral body adjacent to the pedicle. Compared to the prior exam this appears to be more extensive and involves more of the pedicle and it now some of the vertebral body on the current exam relative to the prior.A focus of questionable marrow replacement along the head of the right T10 rib is redemonstrated which is not associated with contrast enhancement and not associated with sclerosis on the MRI and not associated with increased uptake on the bone scan.The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots.
1.Since the previous exam the patient's T6 and T7 marrow replacing lesions compatible with bone metastases appear to have mildly increased in size.