PMC3872662_01
Post-contrast sagittal magnetic resonance (MR) image of dorsolumbar spine shows a discrete intramedullary conus tumor opposite D12 vertebra
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F1
D12 level [Figure 1]. D11 to L1 laminectomies were noted [Figure 2].
Post-contrast sagittal MR image of dorsolumbar spine shows the conus tumor and posterior laminectomies after first surgery
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F2
D12 level [Figure 1]. D11 to L1 laminectomies were noted [Figure 2].
Photomicrograph showing large polyhedral epithelial cells with vesicular nuclei, prominent nucleoli, and glassy eosinophilic cytoplasm. Brisk mitotic activity is noted. (hematoxylin and eosin (H and E), 400x)
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F3
Histopathology showed a poorly differentiated metastatic carcinoma [Figure 3].
Chest radiograph demonstrates a right hilar mass
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F4
A review of the chest radiograph showed a right hilar lung mass, which had been missed earlier [Figure 4].