Expansile Intra-medullary lesion extending from C3 to C7 level with peri-tumoral cysts and haemosiderin staining on T2 WI. Associated long segment cervical and thoracic loculated syringohydromyelia. No drop metastasis or leptomeningeal enhancement. Massively distended urinary bladder. Incidental T7 vertebral body haemangioma and adnexal cyst.