Metastatic breast cancer to the spine, status post MVA with neck and back pain. For the purposes of counting, L5 is sacralized. There is widespread metastatic disease involving the imaged axial skeleton, with multiple vertebral compression fractures. In particular, there are severe compression deformities at T3 and T4, with focal kyphotic deformity and epidural extension of tumor, which results in spinal canal narrowing, as well as epidural extension and/or retropulsion of bone and/or tumor at T8 through T10 and T2, with impingement upon the thecal sac. There appears to be mild, but diffuse high signal within the lower thoracic spine cord. The paravertebral soft tissues are unremarkable.
Widespread metastatic disease involving the imaged axial skeleton, with multiple vertebral compression fractures. In particular, there are severe compression deformities at T3 and T4, with focal kyphotic deformity and epidural extension of tumor, which results in spinal canal narrowing, as well as epidural extension and/or retropulsion of bone and/or tumor at T8 through T10 and T2, with impingement upon the thecal sac. Apparent mild, but diffuse high signal within the lower thoracic spine cord may represent edema. Please refer to the recent cervical spine MRI report for additional details.