Diagnosis: Malignant neoplasm of unspecified site of right female breast Malignant neoplasm of unspecified site of right female breastClinical question: history of breast cancer with new right arm pain and neuropathySigns and Symptoms: right arm pain and numbness and tingling The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots.There is a T1 hyperintense focus present within the 12 vertebral body. A similar lesion is present at L1 but a bit smaller. It suppresses on the inversion recovery images. Most likely these represent vertebral body hemangiomasThere is a right paramedian disc extrusion present at C6-7 which is not entirely included on this exam. There is a partially visualized left-sided pleural effusion present.
1.There is no evidence for spinal metastases to the thoracic spine.2.Findings suggest a right C6-7 disc extrusion which is not entirely included on this exam and likely encroaches the right-sided exiting nerve roots at this level. Please refer to MRI of the cervical spine for further comments.3.There is a left-sided pleural effusion present which is not entirely imaged on this exam.