PMC4242500_01
Fluoroscopic view of horizontal spread of contrast dye, prone position.. Note: The needle tip is seen near the inferior border of T12 rib on the left.
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The left T6 to T12 ribs were identified 6-7 cm from the midline and marked. The inferior approach was used to insert a 1.5-inch, 25 gauge needle into the inferior border of each rib; the needle was advanced until the periosteum was contacted (Figure 1). The needle tip was walked off the inferior margin of the rib and advanced 0.5 cm.
Magnetic resonance images of the thoracic spine, sagittal view, different sections, showing the thoracic body involvement.. Note: Extensive metastatic disease of the vertebral body can be seen.
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Magnetic resonance imaging of the thorax and lumbar spine showed extensive bony metastasis, leptomeningeal metastatic disease, and myelitis at T6 and below (Figure 2).