Patient states that he was struck with 7200 volts of electricity and flung. There are depression deformities involving the superior endplates of T5, T6, T7, and T10. There is patchy high T2 signal in the superior aspects of these vertebral bodies. There is mild loss of anterior anterior vertebral body height at T6. There also high T2 signal within the T9-10 intervertebral disc. There is a small bulge at T7, but no spinal canal or neural foraminal stenosis throughout the thoracic spine. There is no abnormal signal in the thoracic spinal cord. There are multiple prominent mediastinal lymph nodes. There is a partly imaged hiatal hernia.
1. Multiple endplates deformities involving T5-T7 and T10 due to intravertebral disc herniations with bone marrow edema in the some of the thoracic vertebrae, which can be related to intravertebral disc herniations, although traumatic fractures are also potential consideration.2. Small bulge at T7, but no spinal canal or neural foraminal stenosis throughout the thoracic spine. 3. Multiple nonspecific prominent mediastinal lymph nodes. Refer to the prior chest imaging may be useful for further evaluation.4. Hiatal hernia.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.