Clinical question: Back pain and possible new malignancy, evaluate for fracture, metastasis. Signs and symptoms: Back pain. Nonenhanced thoracic MRI:The alignment of the vertebral column is anatomical.The signal intensity of the vertebral column is unremarkable.There is normal signal intensity and caliber of the thoracic cord.At T11-T12 there is a small shallow disc protrusion on the left with mild extension to the left neural foramen with questionable compromise and unremarkable otherwise.There is mild degenerative disc disease without spinal stenosis or neural foraminal compromise at any other level.Unremarkable paraspinal soft tissues.Nonenhanced lumbar MRI:There is normal anatomical alignment of vertebral column with normal signal intensity on all MRI sequences.There is mild degenerative disc disease and and mild to moderate facet and ligamentum flavum hypertrophy in the lower lumbar spine, however without evidence of spinal canal or neural foraminal compromise at any level.Unremarkable paraspinal soft tissues.
1.MRI of thoracic spine demonstrate mild degenerative changes without spinal stenosis or neural foraminal compromise. Small shallow disc protrusion at T11-T12 on the left with questionable left foraminal compromise and unremarkable exam otherwise.2.MRI of lumbar spine demonstrate multilevel mild degenerative disc disease and mild to moderate facet and ligamentum flavum hypertrophy without foraminal or central spinal stenosis at any level.3.Unremarkable para spinal soft tissues of thoracic and lumbar regions.