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(a) Cervicothoracic T1-weighted sagittal magnetic resonance imaging (MRI) shows a mixed hypo-hyperintense mass at T3-T4 level, (b) in T2-weighted image, the mass is also hypo-hyperintense which is not usual in intramedullary epidermoid cysts, (c) but in fat-suppressed MRI the whole of the tumor is hyperintense, (d) intraoperative photograph; a milky white tumor is demonstrated after midline myelotomy, (e) after total removal of the mass.
