Tuberculous myelitis can be either due to hematogenous spread of infection or direct spread from an adjacent focus. Findings include cord swelling , edema and T2 hyperintensity  which can be long segment or localized to the focus of infection. The presence of intra dural abscess or arachnoiditis and other stigmata of tuberculosis helps establishing the imaging diagnosis and differentiates it from other causes of intra medullary T2 hyperintensity as transverse myelitis.