R Inguinal/R Scrotum Extramammary Paget’s Disease with Diffuse Spine Metastasis Complicated by Microangiopathic Hemolytic Anemia

Figure 2

MRI of the thoracic and lumbar spine: compression vertebral fracture at L4 with retropulsion of the posterior vertebral body causing severe spinal stenosis. Extraosseous extension of tumor into ventral epidural space at T12.