Known metastatic thoracic vertebral body metastasis follow-up. Redemonstration of the T7 vertebral metastasis especially on the right and more on the posterior compartment. Specifically the lesion is involving posterior 1/3 of T6 vertebral body extends up to the level of midline the lesion involves right side pedicle, superior and inferior articular process and right side lamina, no change since prior exam. The lesion shows subtle enhancement but most of the lesion shows low signal intensity on both T1 and T2 weighted images indicating sclerotic lesion, again no change since prior exam. Subtle high signal intensity lesion on the right lower lobe on T1 weighted image around T6 level does not show any significant interval change since prior exam.There is normal thoracic kyphosis and lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing, cord compression, or myelopathy. The conus medullaris terminates at the T12-L1 level. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. There is no evidence of abnormal enhancement, cord compression or mass.
1. Redemonstration of T6 metastatic lesion, no significant interval change since prior exam.2. No change of right lower lobe lesion since prior exam.3. No evidence of new lesion on this scan.4. Normal spinal cord and no evidence of spinal stenosis.