Figure 2

(a) Sagittal T1-weighted image of lumbar region. The meninges show possible minimal thickening. (b) Gadolinium-enhanced sagittal T1-weighted image. Because the patient had diffuse back pain and mixed neurological signs, meningeal metastatic disease was suspected. Gadolinium-enhanced imaging demonstrates thickening and nodularity of the meninges in the lumbar region and around the distal cord (metastases from carcinoma of breast).