Male, 67 years old, with unstable balance, affected proprioception, assess for cord compression. Diffuse marrow heterogeneity is seen compatible with widespread osseous metastatic disease. Vertebral body heights are preserved. At the T8-9 level, there appears to be epidural soft tissue thickening which causes effacement of the thecal sac and likely some mass effect upon the spinal cord. There may be a smaller area of dorsal epidural soft tissue thickening at the T10-11 level.
1.Widespread osseous metastatic disease without significant loss of vertebral body height.2.Findings are seen concerning for epidural tumor at the T8-9 level and at the T10-11 level. These findings are better assessed on dedicated thoracic spine MRI.