Figure 1. Preoperative MRI scans of an 82-year-old man who presented with a spinal tumor. (A) Sagittal T1-weighted (W) and (B) T2W pre-contrast images show a T1 hypo-and T2 hyper-intense spinal tumor infiltrating the C7 vertebra (arrowheads) and (lesser extend) T1 vertebral body. The tumor extends from C5 to T2 vertebral levels. The tumor makes an obtuse angle (red angle) with the longitudinal flow of the cerebrospinal fluid (CSF) on the sagittal image (B). This indicates the extra-dural location of the tumor. It causes a significant mass effect on the spinal cord, with focal high T2 cord signal (red arrows, B). (C) Sagittal and (D) coronal T1-weighted post-contrast images show the left lateral extradural tumor compresses the spinal cord/thecal sac and extends into the paraspinal region as well as widening the left C7-T1 neural foramen (arrowhead, D). (E) Axial T2W and (F) T1W post-contrast images show the extradural tumor displaces the spinal cord and thecal sac (arrows, E and F) to the right half of the spinal canal and extends into the posterior paraspinal space with widening of the left neural foramen (arrowheads, E and F).