Back pain. Evaluate for potential kyphoplasty. There is compression fracture of T10, with no significant retropulsion. The fracture involves primarily the anterior column. Posterior wall of the vertebral body and pedicles appear intact. Mild degenerative changes are seen in the rest of the thoracic spine. No additional fracture is seen. Please also refer to recent MRI of thoracic spine for additional findings suggesting multiple myeloma lesions.There is a left upper lobe mass, with central calcification, probably representing a calcified granuloma and measures 14 mm. Small pleural effusion is seen bilaterally.There is a large hiatal hernia. There is thickening of esophageal wall, of uncertain significance. This is prominent soft tissue density seen at the right lateral aspect of the esophagus, at T5 -- T6 level, of uncertain significance; this may represent a vascular structure, but an underlying mass cannot be excluded.
1. T10 compression fracture, with intact posterior wall of the vertebral body and pedicles.2. Please refer to recent MRI of thoracic spine for additional multiple myeloma lesions.3. Large hiatal hernia.4. Thickening of esophageal wall and prominent soft tissue density at the right lateral aspect of the esophagus, at T5 -- T6 level, of uncertain significance. Suggest correlation with contrast enhanced CT.5. Left upper lobe calcified granuloma. 