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FIG 1. Initial CT and MR images two weeks after the abnormal bone scan as part of work-up for two months of progressive thoracic pain.
A, Initial coronal T1-weighted postgadolinium image with fat saturation demonstrates contiguous intense enhancement of the intervertebral disk, endplate, and adjacent marrow (open arrow), with less intense enhancement of the T8 and T9 vertebral bodies and paraspinous region (arrows).
B, Initial sagittal Fast Spin-Echo T2-weighted and fat-nulled Inversion Recovery (FSEIR) image demonstrates increased signal intensity in the T8 and T9 vertebral bodies and the intervertebral disk (arrow).
C and D, CT coronal (C) and sagittal (D) reconstructions reveal destruction of endplates and adjacent cancelous bone (arrow).
E, Core biopsy needle (arrow) traverses central endplate erosion (arrowhead).
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