Review Question - QID 214135

A 78-year-old male who presents to the ED following a MVC in which he rear-ended another vehicle traveling 20 MPH. He reports a long history of chronic low back pain and neck pain for which he reports he is taking Etanercept, but denies any history of gait instability or dexterity problems with his hands prior to the accident. He denies a history of diabetes or taking blood thinner or other medications. Upon presentation he has no motor or sensory deficits, but is complaining of posterior neck pain. A radiograph taken on admission is shown in Figure A. A CT scan is subsequently obtained and negative for fracture. On tertiary exam 3 hours later, the patient is found to have severe weakness in both his upper and lower extremities. An MRI of the cervical spine is most like to show which of the following?