PMC4855475_01
AP cervical radiograph taken in 2010 (Left) AP cervical radiograph demonstrating missing left C6 pedicle and articular pillar taken in 2014 (Right)
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Fig1
Cervical radiographs taken one week prior to presentation were read as moderate degenerative changes of the cervical spine with moderate carotid bulb atherosclerosis (Fig. 1).
Axial CT demonstrating destructive mass C6 left vertebral body and transverse process
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Fig2
Computed tomography was obtained; multiplanar multidetector CT images revealed a large destructive soft tissue mass along the leftward aspect of C6-T1 with frank osseous destruction of the vertebral bodies and transverse processes (Fig. 2).
Lytic lesion in right 1st thoracic rib
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Fig3
An additional lytic lesion was identified within the first right rib (Fig. 3).