Thoracic spine compression fracture. There is mild thoracic scoliosis convex to the left. Compression deformities of various degrees are seen in thoracic spine, involving T4, T5, T6, T7, T8, T10, T11 and T12. The compression deformities are worst at T8 and T12 level. At T12 level, there are changes related to previous vertebroplasty. Small amount of vertebroplasty material is seen extravasated into the right paraspinal region, possibly involving a venous structure. At T11 - T12 there is disk bulging without significant compromise to spinal canal. Mild disk bulging is also seen throughtout the rest of the thoracic spine, without significant compromise of the spinal canal, although mild neuroforaminal narrowing is present.Abnormal opacity in the left upper lobe is partially visualized, suspicious for a neoplastic process as reported on prior CT chest of 9/15/2011. This is a lytic lesion involving the left pedicle L1, with no definite corresponding lesion seen on prior MRI study. Metastasis cannot be excluded.
1. Multi-level compression deformities in thoracic spine. Status post vertebroplasty at T12, with extravasated material in the right paraspinal region, probably through venous structure.2. Suspicious for left upper lobe neoplasm. Please correlate with CT chest.3. New lytic lesion at left L1 pedicle, suspicious for a lytic metastasis. Further correlation with MRI with contrast is recommended. 