PMC6174834_01
CTA Chest and CT abdomen. CT of the chest demonstrated (A) multiple bilateral subcentimeter nodules (A and B) a large right loculated pleural effusion, and (C) a nonspecific 1.5 cm right hepatic lesion.
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MRI spine (T1 post-contrast) and brain (T2-weighted). (A) Multiple poorly defined bony lesions were identified on MRI of the spine, which were higher signal on T1 after contrast, consistent with bony metastatic lesions involving the vertebral bodies and posterior elements. (B) Subsequent MRI of the brain found diffuse heterogeneous calvarial marrow signal, representing infiltrative disease of the bone marrow. There are also multiple calcanerium abscesses and diffuse thickening of the dura.
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An MRI of the brain was done and demonstrated calcanerium abscesses, infiltration of the bone marrow, and thickening of the dura (Fig. 2B).