Lung cancer, metastasis. C-spine:Post a C5 corpectomy status with instrumentation from C4 to C6.Previously noted prevertebral soft tissue thickening has been subsided since prior study. There is no evidence of spinal cord is abnormal signal intensity.Vertebral body signal intensity appear to be normal.There is no abnormal enhancement.The cranial-cervical junction is normal. There is normal cervical lordosis. The cervical spine alignment is anatomic. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing or myelopathy. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. The paraspinal soft tissues are unremarkable.There is no evidence of abnormal enhancement, cord compression or mass. T-spine:T5 and T8 vertebral body show loss of normal bone marrow signal intensity with gadolinium enhancement indicating metastases lesions.Especially for T5 vertebral body shows enhancing soft tissue involvement of vertebral body on the right side as well as right side pedicle extended toward the right-sided neural foramen at this level. Th T8 vertebral body also has enhancing soft tissue confined to vertebral body . No associated soft tissue is seen.There is no evidence of spinal canal stenosis.There is no evidence of other abnormal enhancing lesion.The spinal cord signal intensity appears to be normal.
1. Metastatic lesions on T5 and T8 as described above.2. T5 lesion extends toward right T5 neural foramen.3. Spinal cord signal intensity appears to be normal.4. No change of C5 coplectomy with C4 to C6 external fixation with instrumentation.