 There is markedly bone marrow which is of slightly lower signal intensity than expected on T1 and T2 weighted imaging. There are multiple enhancing lesions within thoracic vertebral bodies. The largest of these involve T8, T10, and T11. At T11 there is minimal disruption of the posterior vertebral body cortex without significant epidural extension. There is also a mildly enhancing right paraspinal mass centered at T7-T8 that measures 5 x 36 mm in the axial plane. 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 imaged spinal cord displays normal signal and morphology. There is a T2 hyperintense nonenhancing well-defined nodule in the posterior subcutaneous soft tissues at the T6 level that likely represents a cyst.
1.Thoracic vertebral body and paraspinal metastases with minimal posterior cortical disruption at T11 but without significant epidural extension or spinal canal stenosis.2.Heterogeneous and altered bone marrow signal intensity may be related to treatment effects.