AJDRAJNR - American Journal of Neuroradiology

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FIG 2. Follow-up MR images obtained 5 months later.

A, Sagittal FSEIR findings are normal, with restoration of intact T8–T9 endplates (arrow) and normal T8 and T9 marrow signal intensity.

B, T1 precontrast image (arrow) shows residual decrease in marrow signal intensity.

C, Postgadolinium fat-saturated sagittal image demonstrates complete resolution of enhancement of the T8 and T9 vertebral bodies and paraspinous tissues and minimal residual enhancement of the T8–T9 intervertebral disk.

D, At 9 months, a Schmorl’s node is evident along the superior T9 endplate (arrow), larger than those present at the level above (arrowheads), which were present on the initial image. (Note in Fig 2D the paraspinous soft tissue swelling and enhancement is gone, compared with Fig 1A.)

E, Biopsy at 4 months reveals chronic mononuclear inflammation surrounding fibrovascular tissue (arrows).





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