Female, 57 years old, with painful mass on the right side of the thoracic spine at approximately the T4 level. Spinal alignment is anatomic. Vertebral body morphology and signal characteristics are normal. No evidence of marrow replacement or marrow edema is detected. No pathologic marrow enhancement is seen.The visualized spinal cord is normal in both signal intensity and morphology. No intraspinal lesions are seen. No pathologic intracanalicular enhancement is detected.The intervertebral disks are within normal limits. No significant spinal canal or neuroforaminal stenosis is suspected.Please note that this examination is tailored for the assessment of the thoracic spine and immediate paraspinal tissues. The anterior and lateral chest wall regions, including the scapulae, are not included within the field of view.The right lobe of the thyroid is diffusely enlarged and somewhat heterogeneous as visualized partially on the T1-weighted images.
1. No spinal or immediate paraspinal abnormality is seen which would account for the patient's symptoms.2. Please note that the anterior and lateral chest wall regions including the scapulae are not included within the field of view of this examination. If these areas require imaging assessment, consultation with chest or musculoskeletal radiology is suggested for guidance as to the most appropriate examination.3. Incidental note is made of a large and heterogeneous right thyroid lobe. If this has not been previously assessed, a dedicated thyroid ultrasound should be performed. 