Metastatic breast cancer. Cervical spine:Degenerative disease of cervical spine is again noted, with disk space narrowing at C6 -- C7 level. There is disk space narrowing and posterior disk-osteophyte complex at C6 -- C7 level. There are facet and uncovertebral joint arthropathic changes at multiple levels. There are no blastic or lytic metastasis identified.Thoracic spine:There is a sclerotic lesion in right posterior aspect of T10 vertebra, likely representing a metastatic focus that was also seen in prior MRI of 5/17/2011. Mild degenerative changes are also seen in thoracic spine. Lumbar spine:There are mixed lytic / blastic lesions involving L3, L4 and L5 levels, with involvement of both anterior and posterior elements. There is epidural extension, and extension into the left neural foramina at L3 -- L4 and L4 -- L5 levels, and to the left paraspinal region. These findings are better seen on prior MRI study. Findings are consistent with metastasis. There is suspicion of new lesion in S1 vertebra. Postsurgical changes in the posterior lumbar region are again present.No evidence of acute fracture is seen.Tarlov cysts are again noted at S2 level.There are multiple small nodules in bilateral lungs, consistent with lung metastasis.
1. Metastasis in T10 vertebra.2. Extensive metastatic disease at the L2 to L5 levels, with epidural extension. 3, Suspicious new lesion at S1 level. 4. Multiple metastatic pulmonary nodules. Please correlate with CT chest. Imaging findings of the thoracic and lumbar spine can be better evaluated with MRI with contrast.