Spinal tumours carry significant morbidity. They typically present with pain or sensory/motor dysfunction – symptoms that carry a wide differential including neoplastic, inflammatory, degenerative, traumatic, infective and vascular processes. Imaging plays a vital role in the diagnostic pathway, with MRI usually being the most appropriate modality to fully assess the spine. When establishing a differential diagnosis, imaging characteristics must be considered in combination with the clinical presentation, age and gender of the patient.

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