66-year-old female with history of lung cancer. Evaluate for metastatic disease at T7. There is an ill-defined subcentimeter focus of signal abnormality along the superior aspect of the vertebral body of T7 demonstrating decreased T1 and increased T2/STIR signal. There is a similar appearing abnormality within the vertebral body of T6. These foci correlate with findings on recent chest CT. On postcontrast imaging, these lesions demonstrate enhancement. Overall these findings suggest two foci of osseous metastatic disease. There is no evidence of epidural extension. No abnormal signal within the thoracic cord.Minimal degenerative disease affects the thoracic spine. Vertebral heights and intervertebral disk spaces are maintained. Alignment is normal. No compression fractures. Multiple cysts are present within the left kidney. Diffuse apparent enhancement involving the partially imaged L1 and L2 vertebral bodies is likely artifactual. No abnormal signal on T1 or STIR sequence.. No associated destructive changes.
Subcentimeter enhancing lesions involving the T6 and T7 vertebral bodies are consistent with osseous metastatic disease. No pathologic fracture or epidural tumor extension.Apparent enhancement involving the partially imaged L1 and L2 vertebral bodies is of likely artifactual due to incomplete fat saturation. No abnormal signal on the precontrast sequences is seen.