History brain metastasis. Possible diskitis at T7-T8. Back pain. Alignment of the thoracic spine is anatomical. This compression deformity of T8, choroid compression fractures seen on the prior MRI study. No severe retropulsion is seen. The spinal canal and neural foramina remain patent. His face. There is noted at T8. The T9 level. A small sclerotic focus in T2 vertebra is nonspecific, but is compatible with enostosis.In L4 vertebra, there is sclerotic lesion with depression of end plate superiorly. Imaging findings is not significantly changed compared to the prior MRI study. There is no evidence of epidural lesion.There are degenerative changes in the thoracic and lumbar spine, which are better visualized on the prior MRI study.An IVC filter is noted. There is increased interstitial densities in bilateral lungs, greater on the left.
1. No significant interval change in the compression deformity of T8 and sclerotic lesion of L4. Diskitis at T7-T8 cannot be excluded based on CT findings. Lesion at L4 can represent chronic compression injury but sclerotic metastasis can have similar appearance. Continuing followup and correlation with clinical findings are recommended.2. Please refer to dedicated chest study for additional findings of the lungs.