case_images: PMC10853835_01
case_images: Spinal CT scan (sagittal section). In the sagittal section, a lytic lesion is observed centered at T8, with subtotal destruction of the bodies of T7 and T8, and the upper part of the body of T9. This is associated with erosion of the left pedicle of T8 and the ipsilateral costovertebral joint. There is a marked component with soft-tissue density in the perivertebral region between T6 and T9, with intracanal extension and molding of the adjacent spinal cord surface, and apparent foraminal extension to the right between T6-T7 and T9-T10, and to the left between T7-T8 and T8-T9.
case_images: cureus-0016-00000051993-i01.jpg
case_images: PMC10853835_01_cureus-0016-00000051993-i01.jpg
case_images: FIG1
case_images: C-reactive protein (2.23 mg/dL; normal range <0.5 mg/dL), without other relevant changes. Computed tomography (Figure 1) and magnetic resonance of the spine (Figure 2) revealed a lytic lesion centered at T8, with subtotal destruction of the bodies of T7 and T8, and the upper part of the body of T9, associated with a soft-tissue density component surrounding T6 to T9, with intracanal extension and molding of the adjacent spinal cord surface, and apparent foraminal extension to the right between T6-T7 and T9-T10, and to the left at T7-T8 and T9-T10.
case_images: Spinal MRI T2 STIR sagittal section. Lytic lesions of T7, T8, and T9 present low signal intensity in T1, high signal intensity in T2 STIR, and heterogeneous post-contrast enhancement; there is marked somatic destruction in D8, with posterior wall retroversion and kyphotic angulation, with slight spinal cord molding. Extensive erosive changes in the vertebral plateaus are associated with high signal intensity in T2 and post-contrast signal enhancement of the D7-D8 and D8-D9 discs; perivertebral lesion component and discreet epidural component are present. Signal changes extend to the posterior arches.. STIR, short-tau inversion recovery.
case_images: cureus-0016-00000051993-i02.jpg
case_images: PMC10853835_01_cureus-0016-00000051993-i02.jpg
case_images: FIG2
case_images: C-reactive protein (2.23 mg/dL; normal range <0.5 mg/dL), without other relevant changes. Computed tomography (Figure 1) and magnetic resonance of the spine (Figure 2) revealed a lytic lesion centered at T8, with subtotal destruction of the bodies of T7 and T8, and the upper part of the body of T9, associated with a soft-tissue density component surrounding T6 to T9, with intracanal extension and molding of the adjacent spinal cord surface, and apparent foraminal extension to the right between T6-T7 and T9-T10, and to the left at T7-T8 and T9-T10.