Possible T1 lucency on recent CT, status post recent chemoRT for head and neck cancer. There is diffuse fatty bone marrow signal in the imaged C6 through T1 vertebrae. There are also more focal areas of fat signal with spiculated bony trabeculae and minimal enhancement in the T2 vertebral body that measure up to 12 mm. Otherwise, there is no evidence of abnormal enhancement or tumors elsewhere in the thoracic spine. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There is a small posterior disc-osteophyte complex at C6-7, but no significant spinal canal stenosis in the thoracic spine. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
Radiation effects in the C6 through T1 vertebrae and hemangiomas in the T2 vertebral body. Otherwise, no evidence of metastatic disease in the thoracic spine.