Sagittal T2-weighted MR image of the cervical spine. An epidural mass with fluid level, consistent with an acute hemorrhage, is compressing the lower brain stem and upper cervical spinal cord at the level of the foramen magnum (white arrow). Additionally, hemorrhage is present at the level of the supracerebellar cistern. Note an increased signal intensity in the entire brain stem, upper cervical spinal cord (to the level of C4) (white asterisk), and cerebellum