 There are low signal intensity metastatic lesions in L1, L2, L4, and L5 vertebra, as well as in the left sacrum and right iliac bone. In particular, the L2 lesion occupies much of the vertebral body, where there are mild superior and inferior endplate deformities. There also appears to be extravertebral extension anteriorly into the paraspinous space, but no gross epidural extension of tumor. There is sacralization of the L5 vertebra. The spinal cord signal appears unremarkable and there is no significant thoracic and lumbar spinal canal stenosis. However, there is sacral lipomatosis, with narrowing of the spinal canal. The vertebral column alignment is grossly anatomic. There are partly imaged liver, lung, renal and lymph node metastases. In addition, there is a partly imaged nodular lesion in the deep subcutaneous tissues overlying the left iliac fossa.
1. Metastatic lesions in T11, L1, L2, L4, and L5 vertebra, as well as in the left sacrum and right iliac bone, with mild superior and inferior endplate deformities of the L2 vertebral body. While tumor in the L2 vertebra appears have mild extravertebral extension anteriorly into the paraspinous space, no gross epidural extension of tumor is evident. 2. Sacral lipomatosis with narrowing of the spinal canal. 3. Partly imaged liver, lung, renal and lymph node metastases. A partly imaged nodular lesion in the deep subcutaneous tissues overlying the left iliac fossa also likely represents a metastasis. Please refer to the recent body CT report for additional details.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.