Female, 52 years old, with breast cancer. Heterogeneous T2 hyperintensity with patchy enhancement is again seen within the left aspect of the L5 vertebral body extending into the left pedicle. The overall appearance and extent of this lesion appear similar to the prior examination. Also unchanged is superior endplate collapse along the left aspect of the L5 vertebral body. No significant retropulsion into the spinal canal is seen.No concerning marrow lesions are seen elsewhere to suggest progressive metastatic spread. Diffuse fatty replacement in the marrow of L4, L5 and the sacrum likely represents radiation effect. The remaining visualized vertebral bodies show a mildly heterogeneous but benign pattern of signal intensity.No evidence of any epidural disease extension is seen. The distal spinal cord, conus and nerve roots of cauda equina are within normal limits. No pathologic intrathecal enhancement is detected.Spinal alignment is anatomic. No evidence of any significant degenerative disk disease, spinal canal stenosis or neuroforaminal narrowing.
Redemonstration of a presumed metastatic lesion within the L5 vertebral body with no significant interval change from the prior examination.No evidence to suggest new or progressive metastatic disease is seen.