Legend Sagittal T1 and T2 images show compression of a vertebra in the upper thoracic spine. Retropulsed fragments of this vertebrae narrow the spinal canal and deform the spinal cord. There is no associated high T2 signal in the cord. An axial T1 image through this level shows severe narrowing of the canal. The collapsed vertebrae shows diffusely low T1 signal.

Legend Sagittal and Axial post contrast T1 images show enhancement along the periphery of the vertebral body, in the pedicles bilaterally, and in the anterior epidural space. This enhancing material compresses the spinal cord. Note the thick enhancing paraspinal tissues. Key words: mri thoracic tumor neoplasia

Spine Diagnosis: Renal cell carcinoma metastasis to the spine