Figure 2: Magnetic resonance image finding of the cervical and thoracic spine. (a) There are hyperintense intramedullary lesions in the C2 and T2 spinal cord on the T2-weighted image. (b) There are hypervascular and intramedullary lesions in C2 and T2 levels of the spinal cord on the T1-weighted image with the enhancement of gadolinium. Thickening and some plaque along the brain stem, cervical, and thoracic spinal sections are noted. The imaging study also demonstrates suspected leptomeningeal carcinomatosis along the brain stem, cervical, and thoracic spine. (c) After surgical removal of T2 spinal cord lesion and post-operation regional radiotherapy, there are no residual lesions in the brainstem, C2 and T2 spinal cord on the T2-weighted image. There are hyperintense signals in the T2 spinal cord that are suspected of demyelination change after tumor removal on the T2-weighted image. (d) No lesion with contrast enhancement is found nor leptomeningeal enhancement on T1-weighted image with the enhancement of gadolinium 1 year after completing radiotherapy