1 month of numbness/tingling pain on lateral/medial right thigh with decreased sensation noted on exam. Plain films show decreased vertebral body height of T7 tule out fracture verse infection of possible mass as cause of symptoms. There is irregularity along the superior and inferior endplates of the T7 vertebral body with slight loss of vertebral body and adjacent disc space heights, but no associated abnormal enhancement or edema. The vertebral body and disc space heights are otherwise preserved. The vertebral column alignment is within normal limits. There is no evidence of mass lesions. There is no significant spinal canal or neural foraminal stenosis. The spinal cord displays normal signal and morphology. The conus medullaris is positioned at the L1-2 level. The cauda equina nerve roots are unremarkable. The paravertebral soft tissues are unremarkable.
Irregularity along the superior and inferior endplates of the T7 vertebral body may represent incipient intravertebral disc herniation or may be post-traumatic in nature rather than an infectious or neoplastic process. 