Patient finally had an MRI the other day.
Conclusion:
There is a paraspinal mass at the level of T12 and L1 with probable intra-osseuous involvement. This is a resulting in compression of the conus to a significant degree. It extends over a length of 6.5cm in its epidural length. Another focus with likely bony involvement is seen in the epidural posteriorly to L4/5. Anterior mediastinal mass. Impression of marrow replacement ?red marrow ?infiltrative. A lymphoproliferative process seems most likely.
I’ll try to chase up images at some point.
Son