Male 66 years old; Reason: Assess for bone metastases and progression History: Back pain Neck: Abnormal signal in the cervical spine suggestive of metastatic disease. No compression fracture is evident.Chest: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy. Signal abnormality throughout the thoracic spine compatible with metastatic disease.Abdomen: Liver is normal in morphology. No biliary ductal dilatation. Spleen is normal in size.Adrenal glands are unremarkable.There is a cyst at the lower pole of the right kidney. Complex cystic mass in the lower pole of the left kidney measures 6.7 x 5.8 cm.There are small retroperitoneal lymph nodes. Small bowel is normal in caliber.Pelvis: Multiple foci of signal abnormality within the bony pelvis compatible with metastatic disease. There are similar foci within the proximal femora.
1.Multiple bony metastatic foci throughout the vertebral bodies , pelvis and proximal femora.2.Complex cystic left renal mass.