Enhaced mr imaging is the non invasive investigation of choice in the evaluation of these diseases we conducted a retrospective study of meningeal diseases detected on mr images we hereby describe the mr. Gadolinium enhanced imaging demonstrates thickening and nodularity of the meninges in the lumbar region and around the distal cord metastases from carcinoma of breast spinal cord deposits as with meningeal metastatic disease lesions in the cord itself may present with an atypical history and confusing neurological signs. Because meningeal disease may be clinically silent or may present with unusual signs and symptoms it is important to maintain a high index of suspicion for this problem diagnosis is usually made by cerebrospinal fluid cytologic testing magnetic resonance imaging or both. Mr imaging with which it is possible to acquire multiplanar images without radiation is an excellent modality for demonstration of these abnormalities especially for evaluation for direct spread to the meninges from orbital nasal or paranasal disease
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