Radiculopathy, thoracic regionClinical question: thoracic disk herniation?Signs and Symptoms: has hx thoracic diskectomy in 1996 now with recurrent moderate-severe thoracic pain after lifting a heavy tray There is a T2 and T1 hyperintense lesion within the anterior aspect of the T5 vertebral body. It is well-circumscribed. On a CT of the chest from 8/21/2007. Have bone spicules within it. Most likely this represents a vertebral body hemangioma.Patient status post left-sided hemilaminotomy at T8-9. There are some degenerative changes present thoracic spine associated with some narrowing of the right neural foramen at T10-T11 where there is encroachment of the right-sided exiting nerve roots. There is T2 signal hyperintensity along the right-sided posterior elements at T9 and T10. There is facet hypertrophy present on the right-sided T9 and T10. There are minor disc bulges at other levels.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.
The patient status post left-sided hemilaminotomy at T8-9. There are some degenerative changes present at T9-10 and T10-T11 with associated findings suggestive of more subacute inflammation and associated with encroachment of right-sided exiting nerve roots at T10-T11 associated facet hypertrophy.