Metastatic sarcoma. There are postsurgical changes with spinal rods extending from T2 to T8 affixed by laminar hooks and transpedicular screws. There are significant streak artifacts secondary to the presence of hardware, limiting evaluation. Lytic lesion involving T6 is again seen correlating with the lesion seen on prior MRI study. There is a significant paraspinal component. There is extension of tumor to the posterior elements. There is suspicion of extension into the spinal canal, but this is difficult to assess due to the presence of streak artifacts.There is a compression fracture, with wedging deformity of T8 vertebral level, also seen on prior x-ray study of 7/6/2011. This results in kyphotic angulation, which is unchanged. There is posterior disk protrusion, with calcification, causing spinal canal stenosis, and likely spinal cord impingementRight lung mass is seen. Please correlate with chest x-ray and CT chest.
1. Compression fracture of T8, not significantly changed compared to prior x-ray.2. Lytic lesion involving T6, with significant paraspinal and epidural component. There is likely extension into the spinal canal, with impingement of spinal cord which is difficult to assess due to streak artifacts.3. Posterior calcified disk protrusion at T7 -- T8 level, likely resulting in spinal cord impingement.4. Right lung mass. Please correlate with chest x-ray and CT chest. 