58-year-old with a heavily calcified cervical spine meningioma. Sagittal
T2-weighted MRI of the cervical spine (A) shows an intradural, extramedullary
mass (asterisk) at C2/C3 that displaces and compresses the cervical spinal cord.
Precontrast (B) and postcontrast (C) transverse axial T1-weighted MRI shows
only mild enhancement, which is atypical for meningioma. The compressed spinal
cord is visible to the right and posterior to the mass (C, arrows).
T2*-weighted gradient echo MRI (D) shows marked hypointensity associated with
the tumor (thick arrow), which corresponds to abundant psammomatous
calcifications found on histopathology.
MRI:
magnetic resonance imaging.
Courtesy of Glenn A Tung, MD, FACR.
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