Recurrent bladder cancer and acute on chronic BLE and RUE weakness, new fecal incontinence. There is an enhancing lesion in the lesion in the T9 vertebral body without extravertebral extension. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. However, there are multiple T2 hyperintense nodules in the partially-imaged thyroid.
1. A lesion in the T9 vertebral body may represent a metastasis, but no evidence of spinal cord compression in the thoracic spine or pathological compression fracture. 2. Multiple nonspecific nodules in the partially-imaged thyroid. A thyroid ultrasound may be useful for further evaluation.