PMC6791247_01
Sagittal view of the thoracic spine showing fluid-sensitive signal hyperintensity from T1 to T5 with associated spinal cord swelling.
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MRI of the thoracic spine revealed a fluid-sensitive signal hyperintensity with spinal cord swelling at level T1 through T5 consistent with transverse myelitis (Figure 1); diffuse pulmonary nodules were also found incidentally.
T2 FLAIR signal hyperintensity seen within the right middle frontal gyrus which did not enhance after contrast. There is no adjacent leptomeningeal/dural or parenchymal contrast enhancement.
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MRI of the brain showed a subcortical FLAIR hyperintensity in the right middle frontal gyrus (Figure 2).
Sagittal view of the thoracic spine demonstrating overall decreased fluid-sensitive hyperintensity within the area of interest from T1 to T5 and improvement of cord swelling.
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Her two-month follow-up MRI of the thoracic spine did show some improvement in the hyperintensity signal and spinal cord swelling (Figure 3); MRI of the brain showed resolution of the T2 FLAIR hyperintensity in the right frontal gyrus.