 There are innumerable foci of bone marrow signal abnormality throughout the vertebral bodies which, in the thoracic spine, demonstrate enhancement and compatible with metastatic disease. Vertebral body heights and alignment are preserved. There is mild loss of height at L5 centrally which appears congenital based on recent CT. No pathologic compression fractures. There is relatively greater involvement of the T7 and T8 vertebral bodies as well as the T12 vertebral body where there is diffuse involvement. Posterior element involvement also seen at multiple levels.There is a 3 x 1 cm enhancing epidural mass at the T7 to T8 level posteriorly. This mass displaces the spinal cord anteriorly and flattens it. Mild T2 hyperintensity in the cord is suspected, best seen on the STIR sequence on the sagittal images of the thoracolumbar spine. Multiple liver cysts are noted, better seen on recent CT.
1.Enhancing epidural mass at the dorsal T7 to T8 level compatible with metastasis. There is anterior displacement and evidence of cord compression. Mild T2 hyperintensity within the cord is suspected.2.Diffuse osseous metastases throughout the spine and visualized pelvis. No pathologic compression fractures or additional levels of epidural tumor. Please note the cervical and lumbar spine was imaged per screening cord compression protocol and dedicated studies can be obtained if clinically indicated.