30 year-old female with multifocal giant cell tumor. Now with right-sided chest wall pain. Evaluate for thoracic spine or rib lesions. Nonenhanced CT of thoracic spine:Axial 3-mm images of entire thoracic spine with zero degree angulation of the gantry were obtained. Sagittal and coronal 2-D reformatted images were obtained.Examination demonstrates normal density and alignment of vertebral column. There is no detectable lytic or sclerotic lesions of the vertebral column. No definite acute abnormality of perispinal soft tissues is identified. Very minimal degenerative disk disease throughout the thoracic spine is present. No evidence of central spinal stenosis or definitive neural foramina compromise on this exam is detected. Recommend follow-up with an MRI examination.Limited view of the proximal thoracic ribs are negative for any osseous abnormalities.
Negative nonenhanced CT of thoracic spine. Follow-up with dedicated MRI of thoracic spine likely more helpful for detecting the cause of patient's right sided chest wall pain.