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Figures:
Figure 1. Sagittal (A) and axial (B) T2 weighted images. Pre-operative picture shows epidural vertebral canal tissue (arrow heads in A and asterisks in B), located from D7 to D11, slightly hyperintense to the medullary nervous tissue. The lesion compresses and dislocates the dural sac and its contents antero-laterally, towards the left (arrow in B), with extension, through the right conjugation foramen, into the adjacent cost-vertebral space (asterisk in A). An area of altered signal, expression of medullary suffering, at level D11-D12 (arrows in A) is associated.Sagittal (C) and axial (D) T2 weighted images. Post-operative picture after the removal of the neoformation, with resolution of the associated mass effect (arrowheads in C) and the area of medullary suffering. Noteworthy is the prompt response to chemotherapy of the extended component in the right costovertebral space. Figure 2. Sagittal T2 weighted (A) and T1 weighted images after contrast administration(B). Before surgery picture was characterized by intravertebral epidural neoformation, located in the D1-D3 tract (arrowheads in A and asterisks in B), characterized by a signal similar to the that from the spinal cord in T2, because of high cellularity, as well as by lower contrast impregnation (asterisks in B). The lesion described engages almost entirely the spinal canal, with a marked compressive effect on the dural sac and its contents (white arrows in A), dislocated laterally to the left (black arrow in B). The neoformation extends into the costovertebral adipose tissue through the intervertebral foramina, on the left side.Sagittal (C) and axial (D) T2 weighted images. Post-operative picture characterized by the removal of the lesion (arrowheads in C), with a reduction of the associated mass effect. On the post-operative phase, the spinal cord early appears distorted by previous compression (arrows in C and D), however, without radiological features of suffering.