Fig. 4. Bone metastasis at the fourth lumbar pedicle 17 months later after the second recurrence (A) computed tomography (CT) revealed bone metastasis at the fourth lumbar pedicle (arrow). (B) On magnetic resonance imaging (MRI), bone metastasis at the lumbar pedicle progressed on sorafenib treatment (arrow). (C) On CT, adrenal lesions were stable 14 months after bone recurrence (arrow). (D) On MRI, the lumbar lesion was stable for 14 months after bone recurrence (arrow).