PMC4719795_01
(A) T1-weighted MRI of the thoracic and lumbar spine demonstrating metastatic tumor compression of the thecal sac and spinal cord at T3-T5 (green arrow) and T11 (red arrow). (B) CT with contrast of the abdomen demonstrating 1.6 cm left renal mass (red arrow).
gr1.jpg
PMC4719795_01_gr1.jpg
fig1
Further review of the imaging showed pathologic fractures with tumor compression of the thecal sac and spinal cord at T3, T4, T5, and T11 (Fig. 1A). In addition, a small (1.6 cm x 1.4 cm) enhancing renal mass was demonstrated on the lateral aspect of the left upper pole, raising suspicion for RCC (Fig. 1B).