Case 059

History/Physical

History/Physical:

64-year-old left-handed male.

Two day history of bilateral leg pain and urinary retention.

Bilateral leg weakness on exam.

There is bony metastatic disease from T10 to L5. Tumour has low signal on T1, whereas normal fatty marrow has high signal (as in the T9 vertebral body).

There is epidural tumour (arrow) posterior to T11 vertebral body causing mild mass effect on the conus (*).