Back pain wrapping around to sternum. Evaluate for acute changes, myelopathy, foraminal stenosis, known thoracic disc bulge with mild canal stenosis previously. At T5/6, there is mild right paracentral disc bulge with mild flattening of the right spinal cord. At T7/8, there is right paracentral disc bulge with mild flattening of the right spinal cord. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is mild loss of disc height at multiple levels from T2/3 through T7/8. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal or foraminal stenosis. The spinal cord displays normal signal. The paravertebral soft tissues are unremarkable.
Right paracentral disc bulges at T5/6 and T7/8 with mild flattening of the right spinal cord at these levels. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.