Clinical question: The thoracic/back pain with radicular component. Is there ventral cord tethering? Signs and symptoms: Back pain. Pre and post enhanced thoracic MRI:Examination demonstrates normal signal intensity and anatomical alignment of the vertebral column without abnormal enhancement.There is normal signal intensity and morphology of the thoracic cord without abnormal enhancement. There is no evidence of anterior cord tethering as is questioned clinically.There is no evidence of any appreciable degenerative changes of thoracic spine and no evidence of spinal canal or neural foraminal compromise at any level.Mildly prominent of posterior subarachnoid space in upper thoracic region is an anatomical variation and of no clinical significance.The perispinal soft tissues are unremarkable.
Negative pre and post enhanced thoracic MRI.