Clinical question: Evaluate for soft tissue mass, subcutaneous on the right upper paraspinal back, likely lipoma; evaluate for depth and size. Signs and symptoms: Large subcutaneous nodule. Nonenhanced thoracic spine MRI:There is normal anatomical alignment the vertebral column. Examination demonstrate a well demarcated foci of marrow signal changes in the vertebral bodies of T6 consistent with a skeletal capillary hemangioma an unremarkable signal intensity of vertebral column otherwise. Mild degenerative changes of the thoracic spine are noted. There is however no evidence of spinal canal or neural foraminal compromise/stenosis at any level. There is normal signal intensity and caliber of thoracic cord.Examination demonstrate a subcutaneous right paramedian loculated fatty signal intensity consistent with a lipoma. The superior extent of the lipoma goes beyond the field of study approximately C7 and inferiorly to T3 -- T4 disk level. The finding measures maximum of 82-mm in transverse diameter from midline to the right T2 level. The largest AP diameter of the lipoma measures approximately at 24-mm and the visualized cranial cephalad axis of lipoma measures at 56-mm. finding is seen subcutaneous space and results in sulcal mass effect and flattening deformity of the underlying musculature without evidence of extension into the deeper tissues.
1.Right paramedian upper thoracic subcutaneous lipoma measuring at 82mm (transverse) x 24-mm (AP) x 56 mm (cc). It extends from approximately C7 inferiorly to the T3 -- T4 disk level.2.Unremarkable nonenhanced MRI of the thoracic spine otherwise other than mild degenerative changes, however without spinal canal or neural foraminal compromise/stenoses at any level.