PMC8247730_01
Sagittal Section. Thick enhancing walled cystic lesion within the right retroocular space. Some calcification in the wall.
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F1
MRI revealed thick enhancing cystic wall lesion occupying the right retroocular space [Figure 1].
Coronal sect. Large right-sided paraspinal mass lesion extending above the right kidney and displacing it. Entirely in the paraspinal tissues. It shows prominent peripheral enhancement no real central enhancement compared to surrounding muscle tissues. The adrenal is seen separate to this lesion. Scalloping of the lateral margin of T12. There is no widening of the neural exit foramen of the adjacent vertebrae. The remainder of the spine appears unremarkable.
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F2
Recent MRI showed an increase in size of the lesion [Figure 2]. Although initially the lesion was thought to be under the diaphragm, carefully study of the CT and MRI revealed that this was in fact above the diaphragm and arising from the right T11 nerve root [Figures 2 and 3].
Axial section. Lesion lies above and displaced the right kidney extending into the intervertebral foramen in the lower thoracic spine. There is no widening of the neural exit foramen of the adjacent vertebrae.
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F3
Although initially the lesion was thought to be under the diaphragm, carefully study of the CT and MRI revealed that this was in fact above the diaphragm and arising from the right T11 nerve root [Figures 2 and 3].
Coronal section. Stable appearances. No evidence of recurrent disease.
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F4
Sagittal section. No axillary or mediastinal lymphadenopathy is seen. No evidence of lung nodules.
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F5