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患者女,65岁。体检CT检查发现胸椎右侧椎旁占位性病变,有右下肢麻木病史。体检:双上肢肌力及肌张力正常,右下肢肌力3+级,左侧下肢肌力4+级,遂进一步行MRI检查。MRI所见:T_(9~10)椎体水平硬膜外可见形态不规则块状不均匀性长T_1、长T_2信号,边界清楚,内可见斑片状及条索状长T_1、短T_2信号,且病灶边缘可见血管流空样信号。肿块穿过右侧椎间孔向椎旁生长,呈哑铃形,并向前侵入第
Female patient, 65 years old. Physical examination CT examination found that the right thoracic vertebral space-occupying lesions, a history of right lower limb numbness. Physical examination: normal upper limb muscle strength and muscle tone, right lower extremity muscle strength 3 + level, left lower extremity muscle strength 4 + level, then further line MRI examination. MRI findings: T_ (9 ~ 10) vertebral level epidural visible irregular patchy irregular shape of long T_1, long T_2 signal, the border is clear, visible patchy and cord-like long T_1, short T_2 signal , And the edge of the lesion visible vascular flow empty signal. Mass through the right foraminal growth to the paravertebral, dumbbell-shaped, and invaded the first forward