MRI
Sagittal T2
Sagittal T1
Sagittal T1 C+
Axial T2
What should be done next?
The patient should be brought back for imaging of the whole cord.
The cervical cord is markedly expanded by cystic dilatation, presumably representing a very prominent syrinx. Areas of signal loss on T2 weighted images likely represent flow/pulsation artefact, rather than blood products. No solid or enhancing component can be identified.