Spinal meningioma

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.