An ill-defined intraspinal extradural soft tissue lesion is seen at C7-T1 level eliciting isointense signal in T1 and hyperintense signal in T2 with homogeneous post contrast enhancement. The lesion extends into left C8 and T1 neural exit foramina. The spinous process and laminae of T1 vertebra show abnormal marrow signal intensity with heterogeneous post contrast enhancement.