Secondary malignant neoplasm of bone [C79.51] / Malignant neoplasm of unspecified site of left female breast [C50.912], Reason for Study: ^Reason: LLE weakness (4/5), worsening back and hip pain History: as above Again demonstrated enhancing soft tissue mass involving bilateral T6 lamina and spinous process (series 14, image 5) and L23 interspinous process ligament enhancement (series18, image 10), unchanged since prior scan . The size and extent of the lesion do not show any significant interval change since prior scan. There is no evidence of intrathecal extension of the lesion.There is no other abnormal enhancement seen.Cervical spine There is normal cervical lordosis. The cranial-cervical junction is normal. Vertebral heights are maintained.No abnormal bone marrow signal intensity.Spinal cord signal intensity is normal.No abnormal enhancement.Mild degenerative changes from C45 to C67 are again seen, unchanged since prior scan including minimal spinal stenosis at the level of C67.Thoracic SpineAgain the T6 lesion involving bilateral lamina and spinous process is seen, grossly unchanged in terms of size, extent and MR characteristics since prior scan. There is normal thoracic kyphosis. The spine alignment is anatomic. The vertebral body height is preserved. Lumbar spineThe spine alignment is normal. Vertebral height is preserved. Spinal cord signal intensity is normal.No abnormal enhancement.Previously seen L34 annular fissure, mild to moderate bilateral L45 neuroforaminal stenosis are again seen and unchanged since prior scan.Alignment appears to be normal.Vertebral height is maintained.The cord signal is normal.
1. Enhancing soft tissue lesions involving T6 lamina and spinous process as well as L23 interspinous ligament are redemonstrated, unchanged since prior scan.2. Unchanged degenerative changes of cervical and lumbar spine as described above.3. No evidence of compression fracture. No evidence of new abnormal enhancement. Spinal cord signal intensity is normal. 