case_images: PMC4407935_01
case_images: Chest x-ray showing nodular opacities in both lung fields
case_images: PAMJ-19-363-g001.jpg
case_images: PMC4407935_01_PAMJ-19-363-g001.jpg
case_images: F0001
case_images: Scan showed bilateral nodular lesions in keeping with pulmonary metastatic disease. (Figure 1, Figure 2). Spinal X Ray and CT scan showed lumbar 1 (L1) osteolytic vertebra body lesions with left pedicle destruction and L4 osteopenia without anterior wedging, kyphosis or destruction of the adjacent intervertebral disk spaces (Figure 3, Figure 4).
case_images: Chest CT Scan of showing lung masses (blue arrows) and multiple nodules consistent with metastatic lung disease from Hepatocellcarcinoma
case_images: PAMJ-19-363-g002.jpg
case_images: PMC4407935_01_PAMJ-19-363-g002.jpg
case_images: F0002
case_images: Scan showed bilateral nodular lesions in keeping with pulmonary metastatic disease. (Figure 1, Figure 2). Spinal X Ray and CT scan showed lumbar 1 (L1) osteolytic vertebra body lesions with left pedicle destruction and L4 osteopenia without anterior wedging, kyphosis or destruction of the adjacent intervertebral disk spaces (Figure 3, Figure 4).
case_images: Thoracic spine x-ray showing Osteolytic Left L1 lesion with missing pedicle (blue arrow)
case_images: PAMJ-19-363-g003.jpg
case_images: PMC4407935_01_PAMJ-19-363-g003.jpg
case_images: F0003
case_images: Scan showed bilateral nodular lesions in keeping with pulmonary metastatic disease. (Figure 1, Figure 2). Spinal X Ray and CT scan showed lumbar 1 (L1) osteolytic vertebra body lesions with left pedicle destruction and L4 osteopenia without anterior wedging, kyphosis or destruction of the adjacent intervertebral disk spaces (Figure 3, Figure 4).
case_images: CT scan showing L1 osteolytic vertebra body lesions (black arrow) with a soft tissue swelling and L4 osteopenia sparing intervertebral disk spaces
case_images: PAMJ-19-363-g004.jpg
case_images: PMC4407935_01_PAMJ-19-363-g004.jpg
case_images: F0004
case_images: Scan showed bilateral nodular lesions in keeping with pulmonary metastatic disease. (Figure 1, Figure 2). Spinal X Ray and CT scan showed lumbar 1 (L1) osteolytic vertebra body lesions with left pedicle destruction and L4 osteopenia without anterior wedging, kyphosis or destruction of the adjacent intervertebral disk spaces (Figure 3, Figure 4).
case_images: Histological illustration of an AFP positively stained bone mass
case_images: PAMJ-19-363-g005.jpg
case_images: PMC4407935_01_PAMJ-19-363-g005.jpg
case_images: F0005
case_images: Computed tomography guided biopsy and histology of the paravertebral mass showed features consistent with a metastatic hepatocellular carcinoma and the abnormal cells were positive to immunostains for Hep par 1 (Figure 5, Figure 6).
case_images: H&E Bone mass
case_images: PAMJ-19-363-g006.jpg
case_images: PMC4407935_01_PAMJ-19-363-g006.jpg
case_images: F0006
case_images: Computed tomography guided biopsy and histology of the paravertebral mass showed features consistent with a metastatic hepatocellular carcinoma and the abnormal cells were positive to immunostains for Hep par 1 (Figure 5, Figure 6).