Pineal gland tumors are an infrequent central nervous system manifestation. Their prevalence is only less than 1 of all central nervous system tumors. They generally involve children or young adults aged younger than 40 years. Extracranial or spinal drop metastases are very rare from pineal gland tumors. In this case, (18)FDG PET/CT demonstrates drops in metastases involving the entire length of the spinal as well as multiple other intracranial metastatic lesions.
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