32 year old female patient with non-small cell lung cancer. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.There is abnormal low T1 bone marrow signal and loss of height of the C4 vertebral body. There is no abnormality in the epidural space at this level on sagittal imaging. Enhancement within the vertebral body cannot be adequately assessed due to non-fat saturated imaging.
1. No evidence of intracranial metastases.2. Loss of height and signal abnormality within the C4 vertebral body. Without an adequate history of prior trauma or prior imaging demonstrating chronicity, the potential for a metastatic lesion should be considered; this can be further evaluated with MRI of the cervical spine with contrast or a bone scan. 