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At the follow-up of 6 months after operation. (A) Laryngoscopic image shows postradiation edema around previous operative area. But there is no evidence of local recurrence. (B) Bone scan image demonstrates multiple bone metastases (rib, spine, shoulder, skull base). (C) T1-weighted sagittal MRI scan shows metastatic lesions at T7, T11 level with compression fracture at L2 level (arrows). (D) Expansile metastatic lesion is noted at the right 7th rib (T1-weighted axial MRI scan, arrow).
