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Dural Tail Sign on MRI | Always Meningioma? Think Again. See this enhancing extra-axial mass with tapering dural thickening? That’s the dural tail sign — classically associated with meningioma. On contrast-enhanced T1 MRI, it appears as linear dural enhancement extending away from the mass. But here’s the clinical pearl: The dural tail is suggestive — not pathognomonic. Other dural-based lesions, metastases, lymphoma, and inflammatory processes can mimic this appearance. So before concluding “me
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