Malignant neoplasm of unspecified site of left female breast [C50.912] / Low back pain [M54.5], Reason for Study: ^Reason: 71F breast cancer, new back pain in thoracic/lumbar region, CT showing paraspinal abscess History: back pain, paraspinal abscess. There are multifocal vertebral body and pedicular lesions (T1, T2, T3, T4, T7, T8, T9, T10, and T11) as well as spinous process lesions (T3, T4, T7 and T8) with evidence of enhancement indicating metastatic lesions. Especially T3 vertebral body shows about 20% of compression fracture without evidence of retropulsion.There are paravertebral soft tissue thickening with enhancement especially anterior aspect of the T2 to T4 which also indicate metastatic lesions.There is normal thoracic kyphosis. The spine alignment is anatomic. The signal of the visualized cord is normal. There is no evidence of cord compression, or myelopathy. The conus medullaris terminates at the T12-L1 level. There is no evidence of spinal canal stenosis.There is no evidence of neural foraminal stenosisLeft side renal cyst is seen.Bilateral pleural thickenings are seen.
1. Multifocal various sized enhancing metastatic lesions of thoracic vertebrae and paravertebral soft tissue as described above.2. About 20% of compression fracture of T3 vertebral body.3. Spinal cord signal intensity is normal. No evidence of spinal stenosis or neuroforaminal stenosis.