Thoracic epidural angiolipoma: A case report and review of the literature

Figure 1 Magnetic resonance imaging scan showed a fusiform posterior epidural mass compressing the thoracic cord over two vertebral body segments between T3-T4. A: Sagittal T1 weighted magnetic resonance imaging (MRI) shows a posterior epidural mass with inhomogeneous isointensity constricting the spinal cord (arrow); B: Sagittal T2 weighted MRI shows a fusiform mass with slightly inhomogeneous hyperintensity (arrow); C: Sagittal fat-saturated T2-weighted image shows a hyperintense tumor (arrow); D: Post-contrast sagittal T1-weighted MRI with fat-saturation technique shows an inhomogeneously enhancing mass (arrow); E: Post-contrast axial T1 weighted MRI show crack like low signal between spinal cord and the lesion, with compression and displacement of the spinal cord (arrow).

Figure 2 Histomicrograph of the surgical specimen shows typical angiolipoma. Composed of mature fat cells and abnormal vascular elements.