ABSTRACT. A male Queensland koala (Phascolarctos cinereus adustus) at Kanazawa Zoological Gardens (Kanagawa, Japan) exhibited paralytic symptoms in the hind limbs. Computed tomography and magnetic resonance imaging revealed a mass on the left ventral side of the 11th to 13th thoracic vertebrae, and the presence of myelitis or edema in the spinal cord. The koala was under anesthesia during the examination and suddenly developed ventricular fibrillation and died. Necropsy revealed a firm flat ovoid hemorrhagic mass on the vertebrae. Following a microscopic examination including immunohistochemistry, the perivertebral mass was diagnosed as B cell lymphoma. Therefore, neoplastic cell infiltration into the spinal cord may cause paralytic symptoms in the hind limbs. At Kanazawa Zoological Gardens (Kanagawa, Japan), a male Queensland koala (Phascolarctos cinereus adustus) aged 10 years and 10 months and weighing 7.0 kg exhibited paralytic symptoms in both hind limbs, and the limb muscles were completely flaccid. Complete blood cell count and the serum biochemical values were within the reference range [2]. Neurological examination revealed absence of postural (proprioception, placing, and hopping) and sensation reactions (deep pain) in both hind limbs. Spinal reflexes, cranial nervous system, and neurological examination of the front limbs were normal. Radiographs were taken under manual restraint and revealed the normal skeletal structure.The koala was transferred to Nihon University Animal Medical Center (Kanagawa, Japan) for CT (Aquilion 16; Toshiba Medical Systems Co., Tochigi, Japan) and MRI (EXCELART Vantage; Toshiba Medical Systems Co.) examinations because spinal cord disease was considered. Anesthesia was induced (by mask) and maintained by inhalation of 1.5% isoflurane (Doubutsuyou Isofururan; Mylan Pharmaceutical Co., Tokyo, Japan) in oxygen at 2.0 l/min. CT revealed the presence of a mass on the left ventral side, extending from the 11th to 13th thoracic vertebrae. The spinal cord lesion was not revealed by CT examination (Fig. 1a). T1-weighted (TR=600 msec, TE=15 msec), contrast T1-weighted (TR=600 msec, TE=15 msec) by gadoteridol (ProHance; Eisai Co., Ltd., Tokyo, Japan) at 0.2 ml/kg, T2-weighted (TR=4,000 msec, TE=120 msec), and fluid-attenuated inversion recovery (FLAIR) (TR=8,000 msec, TE=109 msec) images confirmed the CT finding of a perivertebral mass. The mass had a slightly heterogeneous intensity, with a partially hyperintense signal on transverse contrast T1-weighted, T2-weighted, and FLAIR images (Fig. 1b-e). Although the spinal cord exhibited semioval hyperintense areas on transverse contrast T1-weighted, T2-weighted, and FLAIR images, displacement of the spinal cord was not observed. The spinal cord also exhibited hyperintense areas on sagittal contrast T1-weighted, T2-weighted, and FLAIR images (Fig. 2). The koala suddenly developed ventricular fibrillation and died due to suppression of the cardiovascular system. Anesthetic depth was not maintained at a suitable level during the MRI examinat...