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A 52 year-old man with a history of lymphoma presented with progressive weakness and numbness in the legs along with bladder and bowel incontinence and perineal numbness.
(Left) Axial T1-weighted MRI scan; Axial T1-weighted MRI with gadolinium. These images at the the L1 level. Note that the conus and surrounding nerve roots enhance with gadolinium. Subsequent CSF analysis was positive for lymphoma cells.
The Electronic Curriculum is copyrighted 1998, Case Western Reserve University School of Medicine.