Vertebral metastases

Case contributed by Dr Ashutosh Gandhi

Presentation

Severe backache.

Patient Data

Age: Old age
Gender: Female
MRI

Whole spine

  • multiple altered signals and wedging in the dorso lumbar vertebral bodies and posterior elements
  • posterior epidural soft tissue at D5 and D6 levels, compressing the spinal cord
  • large lobulated left axilllary, left lateral chest wall & right supra calvicular soft tissue lesions

Case Discussion

MRI features are those of infiltrative vertebral lesions with bone expansion and spinal cord as well as foraminal compromise. Note also, posterior epidural intraspinal soft tissue extension, altered marrow texture of the sternum, extensive left axillary, cervical and mediastinal lymphadenopathies, multiple pulmonary and hepatic lesions reflecting part of multisystem metastatic process. 

Multiple collapsed vertebral bodies are noted, secondary to marrow infiltrating lesions.

The overdistended urinary bladder may raise the possibility of developing neurogenic bladder secondary to spinal cord compression.

Considering old age and female gender, the possibility of metastatic left breast cancer is the prime consideration.

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Case information

rID: 19758
Published: 10th Oct 2012
Last edited: 14th Aug 2019
Tag: spine
Inclusion in quiz mode: Included

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