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An oval-shaped well-circumscribed right anterior intramedullary lesion is noted opposite C7 and T1 vertebral bodies forming smooth focal bulge. It exhibits peripheral hemosiderin-induced signal loss at all pulse sequences with internal heterogeneous signal "popcorn-like" and blooming in SWI. No significant post-contrast enhancement.
This is associated with linear T2 hypointensity through the central canal of the spinal cord proximal to the lesion till CV4/5 level and distally down to DV2/3 level continuous with the peripheral hypointense rim of the lesion mostly representing hemosiderin.