Opinion please – Spine with multiple ABCs

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Hi

A colleague showed me this case and would appreciate your opinion.

Woman in early 40s. Thoracic spine MRI with submitted history: “Hx of spinal fracture – core weakness – ? injury affecting spinal cord.” PMH hypothyroidism. No provided history of malignancy or other available imaging.

There seems to be diffuse marrow replacement but also what look like several mutilevel ABCs. Any particular entity that can cause this? Could these be hemorrhagic mets?

Thanks in advance

Zaid

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1 thought on “Opinion please – Spine with multiple ABCs”

  1. OCAD
    ocad-msk
    Hi

    This is a summary of the responses:

    4 favouring mets (including hemorrhagic mets)

    1 favouring myeloma

    1 hemangiomatosis

    Cystic angiomatosis was also mentioned as potential but less favoured possibility

    Thanks for everyone who shared their views, very much appreciated.

    Best regards
    Zaid

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