Altered signal in T3, T4 and T5 with diffuse vertebral body enhancement. Discs spared.
Severe collapse with at least 50% loss of vertebral body height of T4 and T5 with a resultant gibbus.
Associated with the above is a symmetrical rind of contiguous enhancing pre-and paravertebral soft tissue as well as enhancing soft tissue extending into the epidural space with resultant severe narrowing of the central canal and partial compression of the cord.
No signal change in the cord to imply oedema.
The remainder of the spine is normal.
Soft tissue name anterior mediastinum measuring up to 5 cm.
Small bilateral pleural effusions.
Cervical lymphadenopathy more pronounced on the left, the largest being a 2.5 cm left supraclavicular lymph node.
Enhancing 1.5cm pleural based nodule in the posterior aspect of the left upper thoracic cavity.