PMC5903130_01
a MRI T2-weighted image of the spine shows hyperintensity in Th7, Th8, L2, and L3. b Bone scintigraphy shows abnormal uptake in sternoclavicular joint, C7, Th1, Th7, Th8, Th12, and L3.
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F1
Findings of an MRI of the spine and bone scintigraphy are shown in Figure 1.
Color fundus photographs (a, b) and optical coherence tomography images (c, d) at initial visit. Fundus photographs show annular choroidal detachment and serous retinal detachment in both eyes. Optical coherence tomography images show a wavy retinal pigment epithelium and thick choroid in both eyes. Fluorescein angiography and indocyanine green angiography findings. Early-phase fluorescein angiogram of right eye (e) shows dye leakage from retinal pigment epithelium. Late-phase fluorescein angiogram (f) shows slightly increased dye leakage. Dye pooling is not seen. Early- and late-phase indocyanine green angiograms (g and h, respectively) of right eye show focal hypoperfusion areas. Similar changes were seen in the left eye.
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F2
Indocyanine green angiography (ICGA) showed multiple areas of choroidal hypoperfusion in both eyes (Fig. 2).
Color fundus photographs (a, b) and optical coherence tomography images (c, d) at 70 days after initial treatment. Fundus color photographs show resolved annular choroidal detachment and serous retinal detachment in both eyes. Optical coherence tomography images show resolved serous retinal detachment.
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F3
BCVA was 0.5 in the right eye and 0.7 in the left eye (Fig. 3). Bilateral pleural effusions were also resorbed, and her general condition improved.