 There is normal alignment of the thoracic spine. The osseous marrow signal is benign. Vertebral body heights are preserved. The disks are within normal limits. The thoracic cord shows normal caliber and signal characteristics. There is anterior displacement of the thoracic cord which is most likely related to normal thoracic kyphotic curvature. No focal indentation. There are small multiple bilateral perineural cysts. There is no significant thoracic disk herniation, spinal canal or neural foraminal stenosis. There is a focus of fat versus hemangioma in the superior endplate of T11 posteriorly. There are small bilateral pleural effusions.
1.No significant disk disease, spinal canal or neural foramina stenosis in the thoracic spine. No abnormal cord signal. No compression fractures.2.Small bilateral pleural effusions.3.Small multiple bilateral perineural cysts, which are a normal variant. There is apparent anterior displacement of the thoracic cord which is most likely related to the normal thoracic kyphosis. There is a remote possibility of an arachnoid cyst posteriorly; if there is high suspicion of thoracic myelopathy, a high resolution 3D T2 FIESTA MRI sequence or myelogram could be obtained for further evaluation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.