The bone marrow of the T3 and T4 vertebra is replaced by a solid tumoural process that extends back into the vertebral arches and also has an extra-osseous and extra-dural component protruding into and narrowing the spinal canal along these levels on the right. The tumour shows marked low T1 signal, low ADC values, elevated T2 signal and vivid contrast enhancement. Both the T3 and T4 vertebral bodies have some degree of pathological fracture with height loss, which is worse in T3 where it is estimated at about 30% with minimal posterior column retropulsion. The intervertebral discs within these levels appear overall preserved and not involved. The tumour also obliterates the right T2/3 and T3/4 intervertebral foramina. The intra canal extradural tumour extension is noted from the level of T1 until T5, and the spinal canal is severely narrowed at the level of T2/3 with the cord compressed to the right along these levels, but with no appreciable cord signal changes. There is another tumoural lesion with similar signal characteristics anterior to the right second costochondral joint, with no convincing sings of continuity with the spinal lesion. The remainder of the vertebral spine have normal appearances, with no other lesions identified. The spinal canal and intervertebral foramina are otherwise capacious. The cord is unremarkable in all the remaining levels. No signs to suggest spinal infection.