Spinal meningioma

Discussion:

The appearances are in keeping with a benign intradural extramedullary spinal tumor.

The differential includes; a spinal meningioma, schwannoma and neurofibroma.

No convinving dural tail is evident, however this is the most likely cause, 80% of spinal meningiomas occuring at the thoracic level.

No internal cystic component as is common with a schwannoma.  No other lesions to suggest a neurofibroma.

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