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Images in medicine
Miniature brain in spine: the ‘mini brain sign’ in vertebral plasmacytoma
  1. Ranjana Gupta,
  2. Amit Mittal,
  3. Puneet Mittal,
  4. Harkirat Kaur,
  5. Vanie Sachdeva,
  6. Kavya Mirchia
  1. Department of Radiodiagnosis, Maharishi Markandeshwar Institute of Medical Sciences & Research, Mullana, Ambala, Haryana, India
  1. Correspondence to Dr Puneet Mittal, Department of Radiodiagnosis, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, F-9, Residential Complex, MM University, Mullana, Ambala, Haryana 133207, India; drpuneetmittal{at}gmail.com

http://dx.doi.org/10.1136/postgradmedj-2016-134197

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    Case history

    A 55-year-old male patient presented with backache for 1 month. There was no history of trauma. Haematological evaluation revealed an elevated erythrocyte sedimentation rate. Radiographic examination showed partial collapse of D12 vertebra with suspicious lytic lesion. MRI showed well-defined lytic lesion in D12 vertebral body appearing mildly hypointense on T1-weighted (T1W) images and mildly hyperintense on T2-weighted (T2W) images, with associated radially arranged thickened cortical struts appearing hypointense on T1W/T2W images, mimicking cortical …

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    Footnotes

    • Contributors RG and PM: planning, conduct and reporting of the work, writing the manuscript, drafting, editing, revising, final approval and literature search; guarantor. AM, VS and KM: planning, conduct and reporting of the work, drafting, editing, revising and final approval; guarantor. HK: planning, conduct and reporting of the work; guarantor.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.