PMC9168386_01
Preoperative spine MRI with gadolinium showing cervicothoracic intramedullary tumor; panel (a-c) axial scans, respectively, at level C7-T1 (a), T2-T3 (b), and T4 (c). Panel (d and e) sagittal scans.
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F1
The cranial portion of the tumor presented an apparently exophytic extramedullary component which extended on the right posterolateral side up to C7 [Figure 1].
Panel a: Axial scan at level of the posterior cranial fossa (infratentorial). Panel b: Axial scan at level of supratentorial space. Panel c: Sagittal scan showing supra- and infratentorial spaces.. Red arrows indicate multiple areas of leptomeningeal thickening.
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F2
A diffuse craniospinal leptomeningeal thickening was also present [Figure 2].