Extending from C2/3 to the midpoint of C4 is an intramedullary mass which is of high T2 signal, low T1 signal and demonstrate prominent contrast enhancement (seen on axial imaging). It has a prominent haemosiderin capping with some intrinsic high T1 signal consistent with haemorrhage. A moderate amount of vasogenic oedema extends above and below the lesion from the crater cervical junction to C7. The remainder of the cervical cord, the cervical vertebrae, and paraspinal soft tissues are unremarkable. The vertebral arteries are codominant to demonstrate normal flow voids.