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Fig. 2B —42-year-old African-American woman with chronic paranoid schizophrenia who presented with impressive weight loss, fever, and malaise. Patient had previously been evaluated at another hospital for multiple vertebral lesions and right breast mass that was eroding through right anterior chest wall. Sagittal T2-weighted MR image of cervical spine shows large paraspinal fluid collection (arrowheads) with contiguous vertebral body involvement from C5 to T3 with relative sparing of intervertebral disks.