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Extraforaminal Meningioma with Extrapleural Space Extension

Carlos S. Restrepo1, Diego A. Herrera2 and Julio A. Lemos3

1 Department of Radiology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr., Bldg. HSC-MED, Rm. 625E-4, San Antonio, TX 78229-3900.
2 Department of Radiology, Universidad de Antioquia, Medellín, Colombia.
3 Department of Radiology, Louisiana State University Health Sciences Center, New Orleans, LA 70112-4800.


Figure 1
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  		Fig. 1A —57-year-old woman with meningioma involving extrapleural space. Axial T1-weighted MR image shows tumor (arrow) at right T1 foramen.

 

Figure 2
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  		Fig. 1B —57-year-old woman with meningioma involving extrapleural space. Axial T1-weighted MR image obtained after gadolinium injection shows homogeneous enhancement, cord compression, tumor (long arrow), and extension (short arrows) to and involving extrapleural space.

 

Figure 3
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  		Fig. 1C —57-year-old woman with meningioma involving extrapleural space. Coronal section of axial T1-weighted MR image shows infiltrative process (arrow) extending into apical extrapleural space. Clear fat plane is evident between parietal pleura and tumor.

 

Figure 4
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  		Fig. 1D —57-year-old woman with meningioma involving extrapleural space. Photomicrographs show infiltrative epithelioid neoplasm containing focal whorls, several psammomatous calcifications (arrow, D), and meningothelial cells. (D, H and E x20; E, H and E x40)

 

Figure 5
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  		Fig. 1E —57-year-old woman with meningioma involving extrapleural space. Photomicrographs show infiltrative epithelioid neoplasm containing focal whorls, several psammomatous calcifications (arrow, D), and meningothelial cells. (D, H and E x20; E, H and E x40)

 

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