Vertebral metastases from renal cell carcinoma

Case contributed by Brendon Friesen
Diagnosis almost certain

Patient Data

Age: 65 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Frontal
Lateral
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Compression fractures T11 and L3 vertebral bodies associated with lytic lesions.

Surgical clips (left nephrectomy).

This study is a stack
Sagittal C+ portal
venous phase
This study is a stack
Axial bone
window
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Lytic lesion of L3 vertebral body with pathological fracture, and posterior extraosseous tumor which compresses the thecal sac.

T11 vertebral body and pedicle metastasis.

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CT 4 years previous - L3 lesion not present, T11 lesion similar.

Sagittal
T1
This study is a stack
Sagittal T1
C+ fat sat
Sagittal
T2
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L3 vertebral body pathological fracture and extraosseous epidural enhancing tumor, which compresses the thecal sac.

Old (quiescent) T11 metastasis.

Lower thoracic and upper lumbar post-radiotherapy fatty marrow changes.

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Post-operative radiograph: L2-L4 instrumented fusion, L3 laminectomy.

Case Discussion

L3 vertebral metastasis from renal cell carcinoma (histologically proven).

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