Some cases are clear cut with the clinical, radiologic and pathologic findings supporting one another. We present a case in which the clinical presentation and radiologic findings broaden the differential diagnosis, with the pathologic diagnosis providing the definitive diagnosis. Here, we report a case of a 79-year-old Caucasian woman with past medical history of ventricular tachycardia treated with ablation, childhood rheumatic fever, sinus sick syndrome with an implantable pacemaker, idiopathic thrombocytopenic purpura with history of splenectomy, breast cancer treated with mastectomy, type 2 diabetes, and hypertension who presented to the Emergency Department with new-onset of left-side numbness.