Seventy-five-year-old gentleman with oligometastatic prostate cancer and a T11 vertebral body metastasis. The decision was to proceed with ADT and SBRT. ADT was initiated. The vertebral body was treated with 30 Gy in 5 fractions. Treatment planning axial computed tomography images demonstrating the GTV (red) and spinal cord (yellow). Isodose lines shown as follows: 100% of the prescription dose (light blue line) and 50% of the prescription dose (dark blue line). The maximum point to the spinal cord and esophagus were 30 and 35 Gy, respectively (69).