Clinical question: Rule out thoracic disk or fracture. Signs and symptoms: Mid back burning pain after fall. Non-enhanced thoracic spine MRI:There is normal anatomical alignment of vertebral column.There is normal signal intensity of bony and soft tissue structures of the thoracic spine. No evidence of fracture or disk protrusion/extrusion present.There is normal signal intensity and caliber of thoracic cord.Three no appreciable degenerative changes of thoracic spine. There is no evidence of spinal canal or neural foraminal compromise or stenosis at any level.There is no detectable perispinal soft tissue abnormalities.Lowermost visualized thoracic spine and uppermost visualized lumbar spine are unremarkable.
Negative nonenhanced MRI of thoracic spine as detailed above.