5/8/2012 Case 4

Presented by: from Dr. Rao and Dr. Zeng - King’s County Hospital Center

Clinical History:

A 60-year-old woman with a past medical history of diabetes mellitus and hypertension presented with weakness and numbness of the legs for one week. She had also had chronic chest pain and back pain for 3 months.  An MRI of the spine demonstrated diffuse replacement of the normal marrow signal of the T2 vertebral body.  An epidural soft tissue mass was noted from T1 to T3, causing spinal cord compression.  The epidural soft tissue mass also extended into the right neural foramina at T1-T2 and T2-T3.  There was a right paraspinal soft tissue mass noted along the T2 vertebral body.  Multiple lung nodules were also present.  The patient underwent a T2 decompressive laminectomy.