Diffuse spinal metastatic deposits

Case contributed by Dr Arthur Daire

Presentation

Presents with acute flaccid paralysis.

Patient Data

Age: 56
Gender: Male
Modality: MRI

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.

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Case Information

rID: 31262
Case created: 28th Sep 2014
Last edited: 22nd Jan 2016
Inclusion in quiz mode: Included

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