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A 66-year-old feminine served with one month of progressive mechanical back discomfort as well as 2 days of lower extremity weakness and urinary retention. She had been found to have a left upper lobe lung mass. An urgent biopsy demonstrated non-small cell lung carcinoma. MRI of her thoracic spine demonstrated a T9 intradural-extramedullary enhancing lesion simultaneously with a destructive lesion for the T11 vertebral body extending into the anterior epidural room with considerable cable c