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007), older age (59.7 years vs 47.6 years, P less then 0.001), higher female predominance (83% vs 50%, P less then 0.001), and smaller size (19.8 cm vs 28.8 cm, P less then 0.001). Multivariable analysis showed that cystic change (P less then 0.001; odds ratio [OR], 0.02), dural tail sign (P less then 0.001; OR, 36.23), age (P = 0.032; OR, 1.06), and lumbar location (P = 0.006; OR, 0.02) were independent factors. Interobserver agreements were almost perfect for all analyses. Conclusions MRI features were useful in differentiat