Presentation
Back pain. Radical prostatectomy 4 years earlier. Elevated PSA.
Patient Data
Age: 80 years
Gender: Male
From the case:
Spinous process metastasis in prostate cancer
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High osteoblastic activity in the dorsal parts of the 8th thoracic vertebra.
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CT shows osteosclerosis of the spinous process of T8. No osteolysis or destruction.
The bright dot in the T10 vertebral body is probably an enostosis, for it shows no activity in the bone scan.
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Low signal of the spinous process of T8 on T1-weighted images, only minimally increased signal on STIR compared with the other vertebrae.
Case Discussion
Imaging features are consistent with spinal metastasis affecting the spinous process of T8 and incidental enostosis of T10 vertebral body.
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