Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
An intensely high T2 signal extra-axial mass with vivid contrast enhancement and a dural tail (best seen on coronal) is seen in the left middle cranial fossa.
Case Discussion
The patient went on to have a resection.
Histology
Microscopic Description: Sections show small pieces of a relatively hypocellular tumor displaying numerous hyalinized capillaries. A few foci of recognizable meningioma are seen. Areas of sclerosis are also noted. Brain tissue is not identified.
Final Diagnosis: Meningioma (WHO grade 1)
Discussion
It is important to realize that some meningiomas, especially microcystic, secretory and angiomatous variants can be very bright on T2.