Vertebral B cell lymphoma
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Complete collapse of the L1 vertebral body, with compression of the conus by soft tissue. The discs on either side are preserved.
The patient went on to have a CT guided biopsy.
Marked crush/stretching artifact is present, but where morphology is preserved, a diffuse large cell morphology is noted, with a high MIB-1 proliferative index.
L1 vertebral mass biopsy showing diffuse sclerotic large B-cell lymphoma.