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British Journal of Radiology (2006) 79, 261-263
© 2006 British Institute of Radiology
doi: 10.1259/bjr/64677209

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Gastric carcinoma presenting with extensive bone metastases and marrow infiltration causing extradural spinal haemorrhage

S Hussain, MRCP and S Chui, FRCR

Alexandra Hospital, Woodrow Drive, Redditch B98 7UB, UK


Figure 1
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Figure 1. (a) T1 and (b) T2 weighted MRI axial slices at the level of D12 vertebra show a cylindrical mass in the extradural space displacing the dural sac anteriorly and causing compression. The haematoma is isointense to neural tissue on the axial T1 and shows central hypointensity and peripheral hyperintensity on T2. This pattern is seen in hyperacute to early subacute haematomas (first few days).

 

Figure 2
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Figure 2. (a) T1 and (b) T2 weighted MRI sagittal slices showing extension of the haematoma from D11/12 disc level down to the body of L3. Widespread metastatic foci are seen in the lumbar and lower thoracic vertebral bodies, appearing as low intensity on the T1 weighted image.

 





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