EURORAD ESR

Case 639

Vertebral metastases from renal cell carcinoma

Author(s)
M. Davies, M. Sultan, V.N. Cassar-Pullicino
 
Patient
female, 74 year(s)
 
 
  • Figure 1
    Radiographic Imaging

    AP radiograph of the thoracic spine demonstrating destruction of the left pedicle of T11 (white arrow) and inferior end-plate of T 10 (black arrow).

     
    Area of Interest: unknown; Imaging Technique: Radiographic Imaging;
     
     
  • Figure 2
    MR Imaging
     

    Axial T1-weighted image demonstrating extensive involvement of the body,left pedicle and lamina of T11 .

     
    Area of Interest: unknown; Imaging Technique: MR Imaging;

    Sagittal T1 – weighted images of the thoraco-lumbar spine demonstrating abnormal signal and extensive collapse of the T11 vertebral body with a large extra-osseous mass displacing the spinal cord posteriorly.

     
    Area of Interest: unknown; Imaging Technique: MR Imaging;

    Sagittal T2 – weighted images of the thoraco-lumbar spine demonstrating abnormal signal and extensive collapse of the T11 vertebral body with a large extra-osseous mass displacing the spinal cord posteriorly.

     
    Area of Interest: unknown; Imaging Technique: MR Imaging;
     
     
  • Figure 3
    Radioisotope Imaging.
     

    Posterior scintigraphic view at 3 hours demonstrating increased uptake at T10,T11 and right scapula.Note the photopaenic area at the lower pole of the right kidney and fullness of the pelvicalyceal system (arrow).

     
    Area of Interest: unknown; Imaging Technique: Radioisotope Imaging.;

    Posterior scintigraphic views at 3 hours demonstrating focal increased uptake at T10,T11 and right scapula.Note the photopaenic area at lower pole of right kidney and fullness of pelvicalyceal system (arrow).A...

     
    Area of Interest: unknown; Imaging Technique: Radioisotope Imaging.;
     
     
  • Figure 4
    Ultrasound Imaging.

    Longitudinal US image of the right kidney demonstrating a solid lesion at the lower pole.

     
    Area of Interest: unknown; Imaging Technique: Ultrasound Imaging.;
     
     
  • Figure 5
    CT Guided Biopsy of the Spine.

    Axial CT image (right lateral decubitus position) showing percutaneous biopsy of the T 11 vertebra .

     
    Area of Interest: unknown; Imaging Technique: CT Guided Biopsy of the Spine.;
     
     
  • Figure 6
    Vertebral Embolisation.
     

    Selective arteriogram of the left T11 intercostal artery pre-embolisation showing extensive tumour circulation .

     
    Area of Interest: unknown; Imaging Technique: Vertebral Embolisation.;

    Selective arteriogram of the left T11 intercostal artery post-embolisation showing devascularisation.

     
    Area of Interest: unknown; Imaging Technique: Vertebral Embolisation.;
     
     
  • Figure 7
    Post-operative Imaging.

    AP radiograph of the thoracolumbar region showing the post-operative appearances.

     
    Area of Interest: unknown; Imaging Technique: Post-operative Imaging.;
     
     
AP radiograph of the thoracic spine demonstrating destruction of the left pedicle of T11 (white arrow) and inferior end-plate of T 10 (black arrow).
 
Axial T1-weighted image demonstrating extensive involvement of the body,left pedicle and lamina of T11 .
 
Sagittal T1 – weighted images of the thoraco-lumbar spine demonstrating abnormal signal and extensive collapse of the T11 vertebral body with a large extra-osseous mass displacing the spinal cord posteriorly.
 
Sagittal T2 – weighted images of the thoraco-lumbar spine demonstrating abnormal signal and extensive collapse of the T11 vertebral body with a large extra-osseous mass displacing the spinal cord posteriorly.
 
Posterior scintigraphic view at 3 hours demonstrating increased uptake at T10,T11 and right scapula.Note the photopaenic area at the lower pole of the right kidney and fullness of the pelvicalyceal system (arrow).
 
Posterior scintigraphic views at 3 hours demonstrating focal increased uptake at T10,T11 and right scapula.Note the photopaenic area at lower pole of right kidney and fullness of pelvicalyceal system (arrow).A urinary catheter is present.
 
Longitudinal US image of the right kidney demonstrating a solid lesion at the lower pole.
 
Axial CT image (right lateral decubitus position) showing percutaneous biopsy of the T 11 vertebra .
 
Selective arteriogram of the left T11 intercostal artery pre-embolisation showing extensive tumour circulation .
 
Selective arteriogram of the left T11 intercostal artery post-embolisation showing devascularisation.
 
AP radiograph of the thoracolumbar region showing the post-operative appearances.
 
 
 
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