Fig 3.

Masslike extension into the paravertebral and epidural space in a malignant VCF. A, Sagittal T1WI of the thoracic spine demonstrates a malignant VCF of T9 with loss of the high T1 normal marrow signal within the vertebral body and convex bowing of the posterior cortex (arrow), both signs indicating a malignant fracture. B, Axial postcontrast T1WI with fat saturation of the T9 fracture demonstrates an irregular enhancing mass (arrow) extending into the right paraspinal soft tissues and the epidural space in this malignant VCF.