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FIGURE 1. (A) T1-weighted MR image (left) shows massive lesion of low signal intensity, and T2-weighted MR image (right) shows lesion of high signal intensity. (B) CT scan shows osteolytic changes at thoracic spine (T4–T5). (C and D) ¹⁸F-FDG PET coronal image (C) and ^99mTc-bone whole-body scintigram (D) show high uptakes at thoracic spine (T4–T5), sacrum, and iliac bones (arrows).

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