case_images: PMC10475258_01
case_images: (a) Anterior, (b) lateral, and (c) cross-sectional view of FDG-PET/CT showing FDG-avid left breast mass and axillary lymphadenopathy.. FDG-PET/CT: fluorodeoxyglucose positron emission tomography-computered tomography.
case_images: 10.1177_2050313X231198322-fig1.jpg
case_images: PMC10475258_01_10.1177_2050313X231198322-fig1.jpg
case_images: fig1-2050313X231198322
case_images: The patient was initially diagnosed with breast cancer 1 year before her current presentation based on positron emission tomography-computered tomography (PET/CT) imaging and histopathology (Figure 1).
case_images: (a) T2/FLAIR sagittal sequence of the cervical spinal cord, (b) T1 sagittal sequence, and (c) T2 sagittal sequence of the thoracic spinal cord with non-enhancing hyperintense lesion extending from C1 to T6. (e) T2/FLAIR axial view at C1 and (f) T6 depicting a predominantly hyperintense lesion within the central cord. (d) T2/FLAIR sagittal sequence of the brain and (g) axial view showing non-enhancing hyperintensities involving the cerebrum, cerebellum, and cerebellar peduncles.
case_images: 10.1177_2050313X231198322-fig2.jpg
case_images: PMC10475258_01_10.1177_2050313X231198322-fig2.jpg
case_images: fig2-2050313X231198322
case_images: T2 signal intensity extending from C1 to T7 consistent with longitudinally extended transverse myelitis (LETM), with multi-degenerative changes and moderate spinal canal stenosis at C3-C4 and C4-C5, causing cord compression. The brain MRI showed non-enhancing T2/FLAIR hyperintensities in the cerebral and cerebellar white matter and middle cerebellar peduncles (Figure 2).