Fifty-two-year-old female patient presented by neck pain and bilateral upper limb numbness, 3 months after stopping neck irradiation for oral SCC. a Sagittal T2 abnormal hyperintense signal extending from CV2 down to CV6. b Sagittal T1 pre and c post contrast showed mildly enhancing mass like lesion. d and e rCBV showing hypoperfusion of the lesion (arrow to red curve) in comparison to the normal cervical cord (green and yellow curves). Post irradiation changes were suggested. The lesion regressed on follow up confirming the diagnosis.