History of hemangiopericytoma (diagnosed 25 years ago) status post mets to brain, salivary gland, right femoral, liver, thoracic spine, presented with fall and intractable back and right hip pain. Thoracic spine:The thoracic spine is in normal alignment. The vertebral body and disk heights are well-maintained. There is a mild dextrocurvature to the thoracic spine. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. There is redemonstration of a slightly smaller size to the mass located at C7/T1 level. There are pedicle screws present at T3, T4 , T6 and T7 associated with a interconnecting rods. The patient is status post T5 vertebrectomy. The small hemangioma in the left side of T12 vertebral body is unchanged.Lumbar spine:The lumbar spine alignment is within normal limits. The vertebral body and disc space heights are preserved. There is disc desiccation most noted at L1-L2. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There are mild degenerative changes involving the lumbar spine with mild disc bulges located from L1-L2 through L5-S1. There is mild facet arthropathy at the L3-4 and L4-5 levels which cause mild neural foraminal stenosis. There is mild central canal stenosis at the L3-4 level. The previous osseous metastatic lesions including left sacral ala and ilium are stable.
1.Slightly smaller right sided lower cervical and upper thoracic spine mass.2.Stable postsurgical changes of a thoracic vertebrectomy and instrumentation.3.Mild degenerative changes of the lower lumbar spine without significant central canal or neural foraminal compromise.