Fig. 1

A shows an axial CT neck with contrast. There is a 6.1 × 4.0 × 4.1 cm contrast-enhancing right neck mass in the right carotid space centered at C3. The mass partially surrounds the external and internal carotid arteries consistent with a Shamblin group 2 lesion. B and C show a T2 weighted MR thoracic spine using Fast Recovery Fast Spin Echo (FRFSE). B depicts a sagittal view where the arrow indicates posterior to anterior spinal cord compression at the level of T7. There is a sharply circumscribed lesion in the right posterolateral aspect of the T11 vertebral body. C depicts an axial view with an expansile mass in the left posterolateral vertebral body, pedicle, laminae, and transverse process of T7. The T7 lesion expands the left posterior epidural compartment compressing the spinal cord anterolaterally towards the right. The arrow points to a small amount of visible cerebrospinal fluid indicating Bilsky grade 2 cord compression