 There is mild scoliosis of the thoracic spine, otherwise alignment is within normal limits. There is mild concavity at the superior endplate of T4 vertebral body, likely chronic given lack of edema. Otherwise, the vertebral body and disk heights are well-maintained. The scout image demonstrates endplate degenerative marrow signal changes at L4-L5 level which is better visualized in the prior lumbar spine MRI.There are T1 hypointense foci adjacent to the superior endplate of T8 and T11 vertebral bodies, which demonstrate slightly increased T2 signal and associated enhancement, compatible with recent or developing Schmorl's nodes. No worrisome focal marrow signal abnormalities appreciated. The spinal cord is of normal caliber and signal. There is no pathological intraspinal enhancement .There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine.
1. Evidence of possible acute Schmorl's nodes adjacent to superior endplates of the T8 and T11 vertebrae, which could potentially account for patient's symptoms.2. Mild concavity of the superior T4 endplate which appears to be chronic in nature. No other significant abnormalities in the thoracic spine.