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Retrograde venous invasion causing vertebral metastases in renal cell carcinoma

R S Oeppen, MRCP, FRCR and K Tung, FRCP, FRCR

Department of Clinical Radiology, Southampton University Hospital, Tremona Road, Southampton SO16 6YD, UK



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  		Figure 1. Sagittal STIR sequences showing central foci of abnormal high signal in the T10, T11 and T12 vertebral bodies.

 


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  		2 (a,b). Fat suppressed axial images showing abnormal high signal tissue expanding the posterior aspect of the vertebral body, effacing the cerebral spinal fluid and following the course of the basivertebral and intervertebral veins.

 


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  		Figure 3. Venous anatomy of the azygos and hemiazygos systems.

 


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  		Figure 4. Superior view of the vertebral venous plexus in transverse plane.

 




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