History of spine lesion, evaluate for change in size. Surveillance imaging. The thoracic vertebral bodies again demonstrate diffuse heterogeneous marrow signal abnormality. There are subtle differences, such as at the ventral T7 level with slightly more prominent lower T1 and lower T2 signal. These differences may be related to technique. Low T1 and low T2 signal involving the superior anterior aspect of the T11 vertebral body remains unchanged. No associated edema or enhancement. The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or neural foramina. No abnormal enhancing lesions are identified in the thoracic spine.
Allowing for slight differences in technique, there is no significant change in diffuse marrow signal heterogeneity in the thoracic spine as well as a more focal area of low T1 and low T2 signal involving the T11 vertebral body, which was previously FDG avid on PET. Follow-up with PET may be helpful as clinically appropriate. No new enhancement. No pathologic compression fractures. No evidence of epidural tumor.