LAUSR

MRI remains the confirmatory diagnostic procedure where the lesion appears hypoto isointense on T1-weighted imaging and possesses variable signal intensity on T2-weighted images. Gadolinium MR imaging demonstrates intense homogeneous enhancement with well-circumscribed margins and dural tail. Although meningioma is known to enhance homogenously on contrast uptake, atypical ones may have heterogeneous enhancement. The enhancement may be heterogeneous secondary to the presence of intrinsic calcification, cysts, and necrosis.[2,3] Such a differential enhancement in this MRI image has an uncanny resemblance to a “flower.” This appearance with central island and multiple projecting spokes closely replicate an “Evening Primrose flower.”