Imaging: Nonambulatory Persian
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spinal cord hyperintensitivity in lumbar intumescence in T2?
There is a T2-weighted hyperintense intraparenchymal signal extending from L3 to L6 that is isointense on pre-contrast T1-weighted images and displays mild blushing contrast enhancement. Given the cat’s history, non-progressive & non-painful myelopathic signs, and these MRI findings, fibrocartilaginous embolic myelopathy (FCEM) was most likely. Infectious/inflammatory and neoplastic disease could not be entirely excluded. The cat has improved quite a lot with physical therapy as the sole form of treatment, furhter lending support to the presumptive diagnosis of FCEM.