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Sagittal whole-spine MRI images (T2 from a slightly later examination, with new C4 compression fracture) show extensive nearly diffuse involvement of spine and skull base with signal anomalies, with both concordant and discordant areas of very high T2 and high T1WI signal and discordant STIR. Bone-within-a-bone sign with apparent doubling of the vertebral body endplate hypointensity. Odontoid and clivus are expanded.
Extensive multifocal high STIR signal lesions in the pelvis, left femur and soft tissues of the distal right thigh. Internal fixation artifacts in the right hip.