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A 47 year-old man developed mid-back pain followed by numbness and weakness in both legs over the next two weeks associated with urinary incontinence.
Sagittal MRI of the Thoracic Spine (Left - T1; Middle - T1 with Gadolinium; Right - T2). Note the lesion which is bright on T2 (right) and enhances with contrast (middle compared to the left). The lesion is clearly extra-axial and is compressing the spinal cord. Emergency surgery demonstrated an epidural abscess with gram positive cocci.
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