PMC8205574_01
CT neck showing encasement and marked narrowing of the left cervical internal carotid artery.
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Encasement and marked narrowing of the left cervical internal carotid artery were noted (Figure 1).
MRI of the neck with and without contrast showing a mass lesion centered within the left jugular foramen, appearing mildly increased in size. The size was 20 mm in maximal dimension as opposed to 17 mm compared to previous imaging 6 months prior.
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The size was 20 mm in maximal dimension as opposed to 17 mm compared to previous imaging 6 months prior (Figure 2).
MRI of the thoracic and lumbar spine showing multiple osseous lesions.
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Her MRI of the thoracic and lumbar spine showed multiple osseous lesions (Figure 3).
PET/CT GA-68 dotatate scan showing multiple scattered metastatic lesions to the spine with subtle increase in size and conspicuity of a few sacral and lumbar lesions.
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She underwent a PET/CT GA-68 dotatate scan in the spring of 2019 which revealed multiple scattered metastatic lesions to the spine with subtle increase in size and conspicuity of a few sacral and lumbar lesions (Figure 4).
PET/CT GA-68 dotatate scan showing a modest response to therapy with no new lesions identified.
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December 2019 showed a modest response to therapy with no new lesions identified while previously these lesions had been progressively getting worse (Figure 5). During the most recent oncology follow-up visit in February 2020, the patient reports some continued fatigue that is beginning to improve.