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. 2022 May 11;15(5):e248837. doi: 10.1136/bcr-2022-248837

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© BMJ Publishing Group Limited 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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MRI of the thoracic spine demonstrated large heterogeneous enhancing soft tissue mass (white arrow) epicentre at the posterior mediastinal region, which directed invasion to T4 pressure effect to thecal sac at lower T3 to upper T5 vertebral level with total obliteration of spinal canal. (A) The T1-weighted image showed hyposignal intensity. (B) The T2-weighted image showed inhomogeneous signal intensity. (C) MRI T1-weighted with contrast showed inhomogeneous enhancement. (D) Axial T2-weighted image at T4 showed a mass (white arrow) with an occupied spinal canal resulting in spinal cord compression. (E) Axial T2-weighted image at T5 also showed a mass with an occupied spinal canal. (F) Axial T2-weighted image at T6 showed a mass in the mediastinum without occupying the spinal canal.