Presentation
Presents with acute flaccid paralysis.
Patient Data
There is diffuse loss of marrow signal in the whole spine, with collapse of T4 (pathological fracture) vertebral body. This is well demonstrated on the T1W images.
At this level, there is a soft tissue mass encroaching on the thecal sac compressing the cord and extending into the left pedicle/lamina.
A segment 6 liver lesion which is hyperintense on T2 imaging is also evident
Case Discussion
Patient with known prostate cancer. This case demonstrates the loss of marrow signal (especially on the T1W images) due to diffuse metastatic disease, in this case prostate cancer.