PMC5482159_01
(a) Sagittal T2 MRI sequence shows a hypodense epidural mass (arrow) compressing the spinal cord from T5-T7. (b) Axial T2 MRI sequence shows a nonenhancing lesion isodense to soft tissue (arrow) causing severe spinal cord compression
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F1
T2 hyperintense and T1 isointense soft tissue mass at the T5-T7 levels resulting in extrinsic compression of the spinal cord [Figure 1a and b]. The main differential diagnosis based on exam findings and imaging was a meningioma.
(a and b) Histological examination of the lesion showed both mature adipocytes as well as numerous blood-filled capillaries (H and E, x100)
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F2
Histopathology revealed a lipovascular proliferation with fat and myxoid tissue without malignancy [Figure 2a and b].