Lung cancer with bone metastases and fracture: pain, surveillance. There are postoperative findings related to upper thoracic laminectomy. There is a persistent pathological fracture of the T1 vertebral body with near complete loss of height and retropulsion of bone and tumor posterior into the spinal canal measuring 7 mm in width, which results in mild spinal cord impingement. There is no definite spinal cord edema. There is also approximately 9 mm of anterior subluxation of the cervical vertebral column. The rest of the thoracic spinal column alignment is intact. There is marked interval decrease in size of the soft tissue tumor arising from the left T1 posterior elements that projects into the paraspinal soft tissues. There is also decrease in size of a mass situated alongside the right T11-12 level that projects into the paraspinal soft tissues. The previously demonstrated pulmonary nodules are better depicted on the prior chest CT.
1. Pathological fracture of the T1 vertebral body with near complete loss of height and retropulsion of bone and tumor posterior into the spinal canal with mild indentation upon the spinal cord, as well as persistent 9 mm of anterior subluxation of the cervical vertebral column. Soft tissue tumor arising from the left T1 posterior elements projecting into the paraspinal soft tissues has diminished. 2. A metastasis situated alongside the right T11-12 level that projects into the paraspinal soft tissues has also markedly diminished.