Metastatic Ewing's sarcoma to the skull: CNS involvement excluded by MRI

A case of metastatic Ewing's sarcoma to the skull is presented, demonstrating the superiority of magnetic resonance imaging over other imaging modalities to exclude CNS involvement. Precise delineation of different tumor components in extradural location contained in an intact dural rim together with compressed cortex showing no signs of tumorous involvement constituted a MRI appearance allowing us to exclude tumor outgrowth into the brain.