Female, 21 years old, with relapsed neuroblastoma and lower leg pain and weakness. Diffuse osseous marrow replacing lesions are seen. In addition, bulky dorsal epidural tumor is seen spanning from approximately T5-T8. This produces a severe narrowing of the spinal canal and cord compression most notably at T6. The neural foramina are also likely invaded by this tumor at least at T6-7. Elsewhere, no significant compromise of the spinal canal is seen. Vertebral body heights are preserved. Spinal alignment is anatomic. Mediastinal adenopathy is partially visualized, as is nodularity along the posterior chest wall. There appears to be a left pleural effusion.
1.Diffuse osseous metastatic disease.2.Bulky dorsal epidural metastatic involvement from T5 through T8 which results in severe spinal canal narrowing and cord compression at T6. 