Clinical question: Evaluate for apologies. Signs and symptoms: BP, BLE pain/numbness. Non-enhanced thoracic MRI:The alignment of vertebral column is anatomical. The signal intensity of vertebral column is unremarkable with the exception of subtle changes secondary to degenerative disease.T1 -- T2, T2 -- T3 and T3 -- T4 levels are unremarkable thereT4 -- T5 demonstrate shallow right lateral disk protrusion with subtle effacement of the adjacent subarachnoid space however without spinal stenosis or neural foraminal compromise.T5 -- T6 is unremarkable.T6 -- T7 demonstrate mild degenerative disk disease and loss of disk height and a shallow immediate right paramedian tiny disk protrusion without spinal stenosis or neural foraminal compromise.T7 -- T8 demonstrate a large right paramedian disk protrusion. It measures approximately 10 mm at the base and 5.6 mm in height. Finding is best appreciated on sagittal T2 and T2 stir image 8 and axial T2 series 801 image 27.This finding results in effacement of the ventral subarachnoid space on the right and with very subtle flattening deformity of the cord. There is however no central spinal stenosis or neural foraminal compromise. The signal intensity of the cord remains normal.T8 -- T9 is unremarkable.T9 -- T10 is unremarkable.T10 -- T11 demonstrate no appreciable degenerative disk disease however mild bilateral symmetrical ligamentum flavum hypertrophy is noted. No spinal stenosis or neural foraminal compromise.T11 -- T12 demonstrate mild degenerative changes and unremarkable otherwise.T12 -- L1 is unremarkable.There is no detectable perispinal soft tissue abnormalities.
1.There is a right lateral disk protrusion at T7 -- T8 with resultant subtle flattening deformity of the cord. No central spinal stenosis or neural foraminal compromise and no detectable cord signal abnormality.2.Additional small disk protrusions at T4 -- T5 and T6 -- T7 levels without spinal stenosis or neural foraminal compromise as detailed.3.Mild to moderate ligamentum flavum hypertrophy of the lower thoracic spine as detailed.4.Normal signal intensity and caliber of thoracic cord.