Colon cancer and left T8 pedicle lesion with spinal canal involvement. There is an infiltrative mass centered in the T8 vertebra with extension into the adjacent vertebrae, paraspinal space, and epidural space, where there is moderate spinal canal stenosis and involvement of the left T7-8, T8-9, and T9-10 neural foramen and right T8-9 neural foramen. Although displaced slightly anteriorly by the tumor, the spinal cord displays normal signal and morphology. There are also enhancing lesions within the posterior elements of T10 and the T11 vertebral body. The vertebral column alignment is within normal limits and the vertebral body heights are preserved. There is a left hilar mass.
1. Metastatic disease to the imaged axial skeleton, including involvement of the T8 vertebra with extension into the adjacent vertebrae, paraspinal space, and epidural space, with resultant moderate spinal canal stenosis and involvement of the left T7-8, T8-9, and T9-10 neural foramen and right T8-9 neural foramen.2. A mass in the left hilar region is also compatible with metastatic disease. Please refer to the prior body CT report for additional details.