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A 47 year-old woman with a prior history of melanoma presented with progressive weakness and numbness in both legs.
Sagittal T1 MRI of the Spine with Gadolinium. Note several large enhancing masses on the lower spinal cord and nerve roots at the level of T12 and L1. Looking closely, the entire thecal sac is obliterated by enhancing tumor adjacent to S1 and S2.
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