Female, 52 years old, with breast cancer. Nonexpansile heterogeneous marrow replacement and patchy enhancement is seen within the left aspect of the L5 vertebral body including the left transverse process and to a lesser extent the left pedicle. Since the prior examination, there has been no significant interval change in the appearance or geographic extent of this lesion.The L5 vertebral body demonstrates overall preserved height allowing for focal collapse of the left superior endplate. No evidence of significant epidural disease spread is seen. No spinal canal or neuroforaminal stenosis is suspected.Fatty marrow replacement involving L4, L5 and the sacrum is compatible with prior radiation. Marrow signal is otherwise unremarkable. No additional metastatic lesions are suspected.The visualized spinal cord, conus and cauda equina are unremarkable. No intraspinal masses are seen.No significant disc degeneration is seen. Mild facet hypertrophy is noted at L4-5 and L5-S1. No significant spinal canal or neuroforaminal stenoses are detected.
1.Stable metastatic lesion involving the left aspect of the L5 vertebral body.2.No new spinal or paraspinal lesions are seen.