66 year old female with history of ovarian cancer and T4 vertebral lesion. Compare to previous studies for interval change. Multilevel degenerative changes present throughout the visualized thoracic spine, lower cervical and upper lumbar segments. The attenuation of the vertebral bodies is within normal limits with exception of T4 which redemonstrates a focal area of sclerosis correlating with the metastatic lesion seen on the previous MRI examination (3/22/2011). No evidence of fracture. No evidence of new lesions.Within the limits of CT scanning, the thecal sac and spinal cord are preserved with no significant spinal canal stenosis, with the exception of T11-T12 which demonstrates a small disk protrusion abutting the spinal cord. The neural foramen are patent. The paraspinal soft tissues are unremarkable.Incidental note is made of several surgical clips that are present within the left anterior pararenal space. A large liver lesion is incompletely imaged and appears grossly similar in size to the previous MR examination representing a hemangioma as previously noted on dedicated abdominal MR examination of 4/30/2010. Atherosclerotic calcifications the visualized thoracic and abdominal aorta. Several small lymph nodes are present within the superior mediastinum the largest of which measures 9 mm at the level of the AP window, (series 4, image 41), not pathologically enlarged by CT criteria.Visualized parts of the lungs are grossly clear bilaterally.
1. Stable T4 vertebral metastasis without evidence of change in size or vertebral body fracture. No additional metastatic lesions are identified.2. Stable appearance of previously noted liver hemangioma.