Malignant neoplasm of unspecified site of right female breast [C50.911] / Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes [C77.3] / Malignant neoplasm of unspecified site of right female breast [C50.911], Multiple bone marrow replacing lesions involving T4, T6 and T7 vertebrae are again seen and show interval increase of extent of involvement.At the level of T4, the right pedicle and right side transverse process show enhancement and T2 high and T1 low signal intensity indicating metastatic lesion, progressed since prior scan.The vertebral body lesions involving both T6 and T7 also appear to be increased in extent of inhomogenous enhancement, however, there is no paravertebral soft tissue mass formation.There is no evidence of spinal canal stenosis or neuroforaminal stenosis.There is no other bone marrow replacing lesion seen. There is normal thoracic kyphosis.The spine alignment is anatomic. The vertebral body height is preserved. The signal of the visualized cord is normal. The conus medullaris terminates at the T12-L1 level. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. The paraspinal soft tissues are unremarkable.
1. Interval increase of size of T4, T6 and T7 bone marrow replacing lesions since prior scan which are consistent with metastatic lesions.2. No evidence of spinal stenosis or neuroforaminal stenosis.3. Spinal cord signal intensity is normal.