The key steps in Lean IT development: -Start with a small idea -Develop software with multiple Plan, Do, Study, Act (PDSA) cycles -Ask users for more ideas for enhancements -Recruit others into the project by allowing them to use the software and experience its benefits -Standardise new reporting process by achieving agreement between users -Design a project that requires minimal financial investment This open source software is available for download from www.FreeDP.org. Sunday, 9 September 2012, 09.30 -10. Objective: Myxopapillary ependymomas (MPE) often occur at the filum terminale but occasionally occur outside the central nervous system (CNS). Common site for these extraneural tumors is sacrococcygeal area. Method: A cocygeal MPE with radiologic, gross and microscopic features will be presented.