Metastatic breast cancer. Leg pain. There are sclerotic lesions in the C4, C6, T4, T5, T10, T12, and L2 vertebral bodies. There is unchanged, mild height loss and posterior retropulsion at T12, but no spinal cord compression. There is otherwise a background of diffuse loss of the normal fatty bone marrow signal throughout the vertebrae, aside from what likely represents a few scattered hemangiomas. The spinal cord shows normal signal and morphology. The vertebral column alignment is within normal limits. The paravertebral soft tissues are unremarkable. There is a partially-imaged right lower lung consolidation and possible left pleural effusion.
1. Multiple vertebral metastases with mild height loss and posterior retropulsion at T12, but no evidence of spinal cord compression. A background of diffuse loss of the normal fatty bone marrow signal throughout the vertebrae may otherwise represent red marrow conversion.2. Right lower lung consolidation and possible left pleural effusion.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.