Clinical question: Evaluate for disk protrusion, mass. Signs and symptoms: Right thoracic back pain. Unenhanced thoracic MRI:There is normal anatomical development and alignment of the vertebral column. The signal intensity of vertebral column is within normal on all MRI sequences. There is no evidence of spinal canal or neural foraminal compromise or stenosis at any level. There is no detectable degenerative changes, mass or mass effect and no evidence of disc protrusion as is questioned clinically.There is redemonstration of a previously known horseshoe kidney and otherwise unremarkable perispinal soft tissues. There is normal signal intensity and caliber of the cord. There is normal termination of the cord at lower L1 level.
Unremarkable nonenhanced MRI of the thoracic spine.