There is no history of trauma nor fever and the plain films of the thoracic spine were negative. The above MRI images include sagittal, T1 and T2 weighted images of the thoracic spine, as well as axial T1 weighted images with fat sat. There is a focal, longitudinal epidural process with high signal on both T1 and T2 weighting. This epidural process is posterior in location causing anterior displacement of the spinal cord in the canal. As can be seen on the fat-saturated images, there is persistent high signal with suggestion of a fluid fluid level.
Findings strongly suggest a subacute epidural hematoma.
They are filled with organizing hematoma extending into the surrounding lobular fatty tissue. In some areas, the vascular channels have thicker walls, due to scarring and contain a few residual bundles of smooth muscle. Hemorrhage with hemosiderin deposition is also noted in these surrounding soft tissues. The findings are typical of the appearance of a capillary hemangioma with some evidence for thicker-walled, perhaps venous elements. Subacute epidural hematoma caused by hemorrhage from a soft tissue hemangioma.