Back pain. History of breast carcinoma. Lytic lesions in the vertebral bodies of T1, T7, and L1 levels are seen, correlating with abnormalities seen on prior MRI. The lesion at L1 involves both anterior and posterior elements. In addition, there are also lytic lesions in T2, T3, T4, T10, T11 and T12 vertebrae. There is also a lesion at the medial head of the right eighth posterior rib.There is pathological fracture of L1, with retropulsion and epidural mass causing spinal canal stenosis. These findings are better seen on the prior MRI study. There is no evidence of kyphoplasty changes in the thoracic spine.
Lytic lesions in multiple vertebral levels and right 8th rib, consistent with metastasis. There are additional lesions seen compared to prior MRI study. Pathological fracture of L1 with epidural mass, causing compromise of the spinal canal.