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(a) Frontal and (b) lateral radiograph of the thoracic spine shows no obvious fracture or lytic destruction. However, widened paravertebral stripes are present (arrowheads). (c) T1-weighted and (d) contrast-enhanced T1-weighted fat-saturated MR images show extensive enhancing hypointense marrow disease with extra-osseous soft tissue (arrows) in the lower thoracic spine secondary to disseminated DLBCL.
