 The thoracic spine is in normal alignment, with a normal thoracic kyphosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal.Surrounding the tip of the T1 spinous process, there is ill-defined enhancement and corresponding T1 hypointensity. There is no significant STIR hyperintensity within the marrow at this level. The cortex of the spinous process tip is somewhat ill-defined on 1201/16.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine. There is a nonenhancing oval lesion in the anterior interpolar right kidney which appears grossly similar to previous MRI lumbar spine images. This is nonspecific but most likely represents a small cyst.
1. Subtle ill-defined enhancement associated with the T1 spinous process tip with questioned ill-defined cortical margin, although no marrow signal abnormality is appreciated. CT could be obtained to evaluate for subtle osseous changes, or bone scan could be considered as clinically indicated.2. No definite T4 level abnormality appreciated.