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Complete pathological replacement of the L5 vertebral body, without extension to the pedicles. There is a small fracture/Schmorl node of the L5 superior vertebral endplate, but the vertebral body height is maintained. The overall appearance is in keeping with an L5 vertebral metastasis in the setting of prostate cancer.
Apart from that, no suspicious lesions within the visible bony structures.
A large vertebral haemangioma of the L1 vertebral body is visible, with a typical polka-dot appearance. A second, smaller haemangioma can be seen in the left L1 pedicle.