Symptoms of spinal cord compression is a core medical emergency meriting urgent MRI imaging.

The commonest cause is spinal metastatic disease, however it may represent the first presentation of other malignancies, such as lymphoma.

Trauma and spondylodiscitis are amongst the other multitude of causes.

In this case the contiguous nature of the soft tissue, with sparing of bone destruction in multiple anatomical spaces makes the diagnosis most in keeping with lymphoma.

The patient was transferred to a tertiary center with both oncological and neurosurgical centers for further management.