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Fig. 4D. —Lumbar spine images of 20-year-old woman hospitalized for febrile meningeal syndrome. Incidental finding of typical giant cystic Schmorl's node occupying total height of L4 vertebral body. Axial fat-suppressed T1-weighted MR image (605/15) after gadolinium injection shows thin peripheral enhancement likely to be related to presence of granulation tissue. Note epidural enhancement next to iterative lumbar punctures (arrow).