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A 67-year-old man presented to our institution with a 1-day history of aggravated paraparesis and back pain. The physical examination showed decreased sensation to pinprick and fine touch and a 0/5 strength in bilateral lower extremities. Chest radiography showed a mass that appeared to be located in the posterior mediastinum, as well as multiple calcified mediastinal lymph nodes (figure 1A). CT of the chest revealed a paravertebral mass of soft tissue surrounding the vertebra with significant bony destruction of vertebral bodies, which extended from T5 to T6 (figure 1B). MRI demonstrated significant compression and posterior displacement of the spinal cord without infiltration of …
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