

74 y/o female referred for MRI with low back pain and bilateral leg weakness, ? spinal stenosis. MRI demonstrated an intradural, extramedullary, mildly enhancing mass at the superior portion of the L1 level consistent with a meningioma. Note was also made of "spinal stenosis" at L1-2 secondary to diffuse concentric disk bulging and at L4-5 secondary to ligamentum flavum hypertrophy and degenerative changes in the posterior elements. Surgical excision and pathologic evaluation of the mass at L1 confirmed a meningioma.