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There are stones within the neck of the gall bladder but none seen within the bile ducts with no bile duct dilatation. There are no focal liver lesions. The pancreas and pancreatic duct look normal. A simple left renal cyst is present.
The most significant finding is of multiple vertebral body lesions, the largest involving the right posterior body of L1, extending to involve and expand the right sided pedicle. This is highly suspicious for a metastatic deposit. Subsequent CT confirmed widespread bony metastatic disease, confirmed to be from breast cancer.