Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture [S22.000A], Reason for Study: ^Reason: eval for cord compression based on findings on CT Chest w of pathologic fracture of T3 with mild posterior extension There are multiple bone lesions on thoracolumbar vertebrae including T3, T7, T8, T11, T12 and L1 indicating multifocal metastatic lesions.Among them, T3 vertebral body lesion shows about 10% of compression fracture with mild retropulsion. The thecal sac is indented and shows minimal spinal canal stenosis but the spinal cord signal intensity is normal.The T7 lesion shows extension of the lesion toward left pedicleThere is mild diffusion bulging of disc at the level of T89.Multifocal loculated pleural effusions are seen on the right side.There is normal thoracic kyphosis and the alignment is anatomic. The conus medullaris terminates at the T12 level.
Multifocal thoracolumbar vertebral metastatic lesions as described above.T3 vertebral body shows pathologic compression fracture of about 10% with minimal retropulsion.