Introduction:
Spondylotic myelopathy involves chronic compression of the spinal cord from degenerative changes of the spine presenting as a myriad of neurological and pain symptoms. Although it is primarily a clinical diagnosis, the use of advanced imaging, such as Magnetic Resonance Imaging (MRI), allows us to shuffle through various causes of myelopathies rapidly. Transverse pancake-like gadolinium enhancement is a rare but specific finding on MRI which points toward spondylotic myelopathy.1 Recognition of this sign saves time for treatment initiation and is crucial in preventing subsequent disability.