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Slice 6 of 23
Can you make the diagnosis?
Review the images, then reveal
MRIMusculoskeletalConfirmedFRCR 2B
Metastatic renal cell carcinoma with cord compression
Clinical Presentation
Back pain, bilateral leg weakness.
- 1Multiple T2 hyperintense, T1 hypointense lesions throughout the spine, including the sacrum.Enhancing destructive lesions in the bodies of T8, T9 and T10 extending into the right pedicles and laminae with intradural extension, causing cord compression
- 2Additional soft-tissue extension into the paravertebral muscles at these levels.4 cm mass in the lower pole of the left kidney.