PMC8255556_01
(a) CT coronal view before intervention demonstrating tracheal displacement (mass indicated by green asterisk) and (b) CT coronal view 8 months post resection and radiation therapy demonstrating recurrence (mass width marked with yellow arrow).
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Follow-up imaging done 8 months after proton therapy completion demonstrated aggressive growth of the residual chordoma (Figure 1(b)).
MRI neck and chest coronal demonstrating brachial plexus involvement (yellow arrow marks brachial plexus, mass marked by green asterisk).
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MRI (Figure 2), and CTA (Figure 3) before surgery which were reviewed to determine the optimal approach for a joint procedure by neurosurgeons and thoracic surgeons. MRA demonstrated anterior displacement of right vertebral artery along with involvement of right C8-T1 nerve roots and extending from C7 to T2.
CT angiogram showing medial displacement of right vertebral artery (yellow arrow).
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MRI (Figure 2), and CTA (Figure 3) before surgery which were reviewed to determine the optimal approach for a joint procedure by neurosurgeons and thoracic surgeons. MRA demonstrated anterior displacement of right vertebral artery along with involvement of right C8-T1 nerve roots and extending from C7 to T2.