Malignant neoplasm of liver, primary, unspecified as to type [C22.8], Reason for Study: ^Reason: s/p vertebrectomy and fusion, h/o HCC History: s/p vertebrectomy and fusion, h/o HCC Interval T5 corpectomy with the cement augmentation as well as external fixation using screws and rods status.Previously seen significant spinal canal stenosis with cord compression by the T5 spinal mass has been significantly relieved. For example, demonstration of the CSF spaces around the spinal cord at the level of T5 indicating complete relief of cord compression.Spinal cord at the level of T5 shows subtle T2 high signal intensity which indicate possible post spinal cord compression myelomalacia or remained cord edema.On axial scans, the T5 level shows subtle soft tissue enhancements which suggest residual soft tissue mass or postoperative changes. Follow up MR imaging with or without contrast enhancement is indicated.The vertebral body height is preserved. The signal of the visualized cord except at the level of T5 is normal. The conus medullaris terminates at the T12-L1 level. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. There is no evidence of cord compression.
1. Post surgical decompression of T5 level cord compression through T5 colpectomy with cement argumentation status.2. Subtle T2 high signal intensity at the T5 level spinal cord indicate either residual cord edema or post compression related myelomalacia.3. Subtle enhancing soft tissue lesions at the level of T5 vertebra and perivertebral soft tissue indicate either residual tumor or post operative changes. Follow up imaging is indicated.4. No other metastatic lesion is seen. No other compression fracture of vertebral body is seen. 