Spinal cord compression secondary to bone metastases from hepatocellular carcinoma

Figure 1 Tru cut biopsy of liver lesion showing increased trabecular thickness, cellular pleomorphism with vesicular nuclei. Sinusoids are lined by flat endothelial cells, Kupffer cells are absent.

Figure 2 A: Sagittal MR image of cervicodorsal spine showing vertebral lesions with most prominent D3 vertebral lesion (arrow); B: Post contrast sagittal T1W SE MR image of the same patient showing lesion involving S2, S3 vertebrae (arrow) with associated large soft tissue component; C: T1W SE axial post contrast MR image showing right lateral epidural soft issue enhancing component (arrow) causing cord compression.

Figure 3 FNAC of vertebral metastasis showing cellular monomorphism, moderate pleomorphism with occasional intranuclear inclusion.