MRI - MRI Spine
Extensive infiltration of T12 with associated vertebral body collapse.
Pathological soft tissue extends posteriorly to narrow the spinal canal and indents but does not compress the cord.
The infiltrated vertebrae are surrounded by abnormal soft tissue which is contiguous with the right pleural mass, suggesting all related to the same disease process.
Small cystic/necrotic regions in the paraspinal soft tissues without drainable abscess.
Summary:
Diffuse infiltrating process extending from right basal pleural space to involve T12. Differential involves atypical infection and malignancy.