Diagnosis: Pain in right shoulderClinical question: Mid back pain with radiation around trunk, rule out thoracic spine disc herniation 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. There are is some hypertrophy of the ligamentum flavum at T10-T11 without any compromise to spinal canal or exiting nerve roots.On the scout images there appear to be some degenerative changes in the cervical spine worse at C4-5 where there is narrowing the spinal canal and neural foramina.The right lobe of the thyroid appears heterogeneous in signal and enlarged.
1.There are mild degenerative changes present in the thoracic spine without significant compromise to spinal canal or exiting nerve roots.2.There are degenerative changes present in the cervical spine which are incompletely evaluated on this exam.3.The right lobe of the thyroid appears large and heterogeneous. Please correlate with patient's clinical symptoms and history. This is an incidental finding.