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. 2022 Sep 9;18:82. doi: 10.1186/s13223-022-00722-x

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© The Author(s) 2022

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 4 — PET/CT scan 10/28/21 Multifocal hypermetabolic mixed lytic and sclerotic lesions were seen throughout the axial and appendicular skeleton. Most significantly, there were pathologic compression fractures of the L3 vertebral body with an associated hypermetabolic soft tissue mass extending into and narrowing the central spinal canal