64-year-old female with history of breast cancer and osseous metastasis. There is redemonstration of extensive osseous metastatic disease. There is extension of tumor into the ventral epidural space involving the right neural foramen at T9-10 and to a lesser extent T10-11. The spinal canal is mildly narrowed, but there is no spinal cord compression or signal abnormality. A partially imaged metastatic lesion is not significantly changed. There is no discrete evidence of leptomeningeal disease. The vertebral body heights are maintained. There is small central disc protrusion at T5-6 without significant spinal canal stenosis. Diffuse lung metastasis are redemonstrated.
No significant interval change in the extensive metastatic disease to the axial skeleton and lungs, with mild epidural extension of tumor at T9-10 and T10-11, but no evidence of spinal cord compression.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.