Figure 1. (a) Sagittal T1W and (b) T2W spin echo MRI in a patient who suffered a hyperextension injury at the C3/4 level. Focal atrophy is present at the disc level, associated with on-going mild cord compression and possible central cyst formation or myelomalacia, manifest as reduced cord signal intensity on T1W and hyperintensity on T2W. Note the relative lack of artefact from the anterior instrumented fusion with titanium screws.