Figure 2.

(A) A sagittal T2W MRI spine of the same patient 6 months postoperative demonstrating significant progression of the signal abnormality in the vertebral body of T6. This is associated with a large heterogeneously high T2 soft tissue component bulging into the epidural spinal canal with extensive compression of the spinal cord and right neural foramen at the same level. There is also minimal caudal migration to the level of mid D7. (B) axial T2W MRI & (C) an axial CT at the T6 level showing the previously described signal abnormality, extending to the right pedicle and lamina with corresponding bony erosion well-demonstrated in the provided CT image. The MRI shows significant compression of the spinal cord, which is compressed and displaced to the left side, but with no intramedullary signal abnormality. (D) A coronal image of MR myelography showing a significant filling defect at the level of T6 and T7 confirming the intraspinal extension of the lesion and significant cord compression. (E) A postoperative sagittal CT image of the dorsal spine demonstrating interval longer fixation of the vertebrae at the levels of T4, T5 and T7, T8.