Figure 5. Six-month follow-up MRI brain and lumbar spine scans of an 82-year-old man after debulking of an extradural tumor. (A) Axial T1W post-contrast MRI brain image reveals enhancing lesions in bilateral cerebellopontine angles, presumed to be metastatic in nature (arrows). (B) Sagittal T2W and (C) sagittal and (D) axial T1W post-contrast MRI lumbar spine images show a T2 isointense signal lesion at the conus medullaris with corresponding ‘flame-shaped’ enhancement pattern (arrow, C). This raises the suspicion of a metastatic lesion. Following surgical resection of the conal lesion, the microscopic examination confirms a ‘drop’ metastasis of an ossifying fibromyxoid tumor.