We describe the imaging features of a meningeal leiomyoma with pathological
correlation in an adult with AIDS. On CT the tumour showed a central low-a
ttenuation area and an enhancing peripheral ring. It gave low signal on T1
weighting and on T2-weighted images a central high-signal area was surround
ed by a markedly low-signal band, which showed contrast enhancement. As far
as we know, this is the first report of this condition in the radiological
literature.