 The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There is a T1 hyperintense lesion within the T4 vertebra, which likely represents a fat-containing hemangioma. The vertebral bone marrow signal is otherwise unremarkable. There is no pathologic enhancement. There is mild facet arthropathy of the lower thoracic spine. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There is partially imaged left lower cervical and upper mediastinal lymphadenopathy, which encases the left common carotid artery. There is also partially imaged pretracheal lymphadenopathy. Incidentally noted is a right chest port.
1.No evidence of metastatic disease within the thoracic spine.2.Partially imaged left lower cervical and upper mediastinal lymphadenopathy encasing the left common carotid artery and pretracheal lymphadenopathy are better evaluated on CT neck soft tissue of 4/2/2015.