Clinical question: Likely soft tissue lipoma; lesion in the midline; evaluate depth/size, spinal abnormality. Signs and symptoms: Soft tissue mass. Nonenhanced thoracic spine MRI:There is normal anatomical alignment and signal intensity of vertebral column. There is no detectable significant degenerative disease at any level. There is no evidence of the spinal canal or neural foraminal compromise at any level. There is normal signal intensity and caliber of thoracic cord.There is a small well demarcated subcutaneous mid line lipoma in the subcutaneous soft tissues of the spine posteriorly at T9 and T10 measuring 40-mm in cranial cephalad access and 8mm in AP axis and 31-mm in transverse axis. The lipoma is directly over the musculature without extension into the musculature.The paraspinal soft tissues are otherwise entirely within normal.
1.Well-demarcated posterior subcutaneous midline lipoma at T9 and T10 measuring at 8 mm in AP x 40 mm in cc and 31mm in transverse axis as detailed above.2.Negative nonenhanced thoracic spine MRI otherwise.