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Pre-operative magnetic resonance imaging (MRI) with metastatic lesions (a) sagittal and (b) axial MRI of the thoracic spine demonstrating no additional areas of significant cord compression; (c) sagittal, (d) coronal, and (e) axial MRI of the brain demonstrating enhancing intramedullary subcentimeter lesions within the clivus, concerning for intramedullary osseous metastatic lesions.
