case_images: PMC7771495_01
case_images: (a) Short-tau inversion recovery hyperintensity, (b) T1 hypointensity involving the L4 vertebral body including the pedicles and the lamina (arrow).
case_images: SNI-11-457-g001.jpg
case_images: PMC7771495_01_SNI-11-457-g001.jpg
case_images: F1
case_images: When the MRI showed a T1 hypointense/short-tau inversion recovery hyperintense lesion involving the L4 vertebral body (e.g., including the pedicles and lamina), a CT-guided core needle biopsy was performed to document whether this was a metastatic lesion [Figures 1a and b].
case_images: (a-c) Computed tomography-guided left sided transpedicular biopsy of L4 vertebral body.
case_images: SNI-11-457-g002.jpg
case_images: PMC7771495_01_SNI-11-457-g002.jpg
case_images: F2
case_images: The CT-guided biopsy of the L4 vertebral body was performed under local anesthesia, and the histopathological examination was consistent with metastatic breast carcinoma [Figures 2a-c and 3a-d].
case_images: Histopathological images of the computed tomography-guided biopsy from L4 vertebrae, (a) x40 and (b) x20 H and E stained image - showing bony trabeculae infiltrated by neoplastic cells having hyperchromatic nuclei, (c) x40 and (d) x20 immunohistochemistry image - tumor cells show GATA 3 positivity.
case_images: SNI-11-457-g003.jpg
case_images: PMC7771495_01_SNI-11-457-g003.jpg
case_images: F3
case_images: The CT-guided biopsy of the L4 vertebral body was performed under local anesthesia, and the histopathological examination was consistent with metastatic breast carcinoma [Figures 2a-c and 3a-d].
case_images: (Axial view) Computed tomography scan shows left side huge psoas hematoma (arrow).
case_images: SNI-11-457-g004.jpg
case_images: PMC7771495_01_SNI-11-457-g004.jpg
case_images: F4
case_images: The emergent postprocedure CT scan confirmed an acute left psoas hematoma [Figure 4].
case_images: (a-d) Sequential images of computed tomography angiography were suggestive of breech in the left lumbar segmental vessel at L4 level (arrow).
case_images: SNI-11-457-g005.jpg
case_images: PMC7771495_01_SNI-11-457-g005.jpg
case_images: F5
case_images: When the CT angiography (e.g., CTA) suggested a laceration of the L4 left lumbar segmental artery, the patient underwent immediate transcatheter selective embolization [Figures 5a-d and 6].
case_images: Transcatheter selective embolization at the left L4 segmental vessel (arrow).
case_images: SNI-11-457-g006.jpg
case_images: PMC7771495_01_SNI-11-457-g006.jpg
case_images: F6
case_images: When the CT angiography (e.g., CTA) suggested a laceration of the L4 left lumbar segmental artery, the patient underwent immediate transcatheter selective embolization [Figures 5a-d and 6].