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Large plaque of mildly enhancing contiguous soft tissue in the epidural space surrounding and encroaching on the spinal cord. This extends into the exit foramen bilaterally at multiple levels.
Bilateral paravertebral and pre vertebral soft tissue, more pronounced on the left, extending into the left paraspinal muscles, but without vertebral body or rib destruction.
Signal change in the bone marrow of the adjacent T4-T6 vertebral bodies.