Dural Plasmacytoma with Meningeal Myelomatosis in a Patient with Multiple Myeloma

Figure 1

MRI showing right solid extra-axial parieto-occipital lesion with typical characteristics of meningeal myelomatosis. The tumor adapts to the underlying brain surface, is intensely enhanced with contrast, and shows adjacent pachymeningeal enhancement with focal spread through leptomeninges towards sulci in the proximal convexity, associated with vasogenic edema but not causing intracranial herniation.