First Pre-operative MRI (A) revealing an intensely enhancing cystic cum haemorrhagic septate expansile bony lesion (5.7 × 3.1 cm) involving the posterior part of D5 vertebral body, right lamina, right pedicle and transverse process with epidural extension (D4–D5) causing marked spinal cord compression and underlying cord oedema. (B) Axial T2 MRI scan depicts the encroachment of the right half of body and posterior elements with compression of the spinal cord. (C) Coronal image through the spinal canal showing intense enhancement on T2 image with fluid levels.