What substances are of high signal intensity on T1?
Fat, protein, paramagnetic material (gadolinium, mucinous metastases, melanoma), calcification, turbulent flow, methaemoglobin
There is a high T1 lesion, anterior to the cord, at the T2/3 level. This is associated with a thin syrinx just above the lesion. A number of vertebral segmentation anomalies, with associated scoliosis, are also seen at the level of the lesion.