sclerotic metastasis LSBU

Description: Radiology case 331-3327 Clinical presentation: Mature adult female, previous abdominal surgery, now presents with back pain.
The view shows an area of dense sclerosis in the body of the second lumbar vertebra without enlargement of the vertebral body. The anterior cortical margin cannot be seen against the desnity, but its anterior edge is blurred in-comparison with the adjacent verebrae. This suggests a subtle combination of sclerosis and destruction. The gap in the posterior cortical margin may be related to the vertebral vein and is sometimes blurred at this spinal level as in the body of L1. This appearance, as in this example is not conclusive for bone destruction. However, the gap in the inferior cortical margin of the pedicle of the sclerotic vertebra is probably significant and suspicious of local bone destruction.