Image 1 : MRI of the spine showing widespread multiple variable size osteolytic metastatic lesions in the cervical, dorsal, lumbar, and sacral vertebral bodies and a few appendicular sites showing T1 low, T2/STIR bright signal with postcontrast enhancement mainly at C5, C7, T2, T3, T6, T7, T9, T11, T12, and to, L4, S1, and S2 levels.