JRSM > Volume 97, Number 3 > Pp. 125-127

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Unusual presentations of acute lymphoid malignancy in children

Reuben Antony MRCP   Derek Roebuck FRCR MRCPCH  ¹   Ian M Hann FRCPCH FRCPath  

Department of Haematology and Oncology, Great Ormond Street Hospital for Children, London WC1N 5JH, UK
¹ Department of Radiology, Great Ormond Street Hospital for Children, London WC1N 5JH, UK

View larger version (113K): [in a new window]   Figure 1. Sagittal T1 weighted MR image showing epidural mass in the thoracic spinal canal (between arrows)

 

View larger version (126K): [in a new window]   Figure 2. Sagittal T2 weighted MR images in case 2. (a) Image at diagnosis shows a large epidural mass (between arrows) causing severe compression of the thoracic spinal cord. There are patchy signal changes in the vertebral bodies, presumably related to leukaemic marrow infiltration. (b) 2 days after diagnosis, image shows substantial resolution of the mass but persistent changes in the vertebral bodies

 

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