case_images: PMC4242500_01
case_images: Fluoroscopic view of horizontal spread of contrast dye, prone position.. Note: The needle tip is seen near the inferior border of T12 rib on the left.
case_images: jpr-7-665Fig1.jpg
case_images: PMC4242500_01_jpr-7-665Fig1.jpg
case_images: f1-jpr-7-665
case_images: The left T6 to T12 ribs were identified 6-7 cm from the midline and marked. The inferior approach was used to insert a 1.5-inch, 25 gauge needle into the inferior border of each rib; the needle was advanced until the periosteum was contacted (Figure 1). The needle tip was walked off the inferior margin of the rib and advanced 0.5 cm.
case_images: Magnetic resonance images of the thoracic spine, sagittal view, different sections, showing the thoracic body involvement.. Note: Extensive metastatic disease of the vertebral body can be seen.
case_images: jpr-7-665Fig2.jpg
case_images: PMC4242500_01_jpr-7-665Fig2.jpg
case_images: f2-jpr-7-665
case_images: Magnetic resonance imaging of the thorax and lumbar spine showed extensive bony metastasis, leptomeningeal metastatic disease, and myelitis at T6 and below (Figure 2).