56-year-old male with smoldering multiple myeloma, right thoracic pain, rule out myelomatous lesions. Vertebral body heights and disk spaces are maintained. There is a small lesion along the anterior aspect of the T4 vertebral body with increased T1 signal, slight curvilinear peripheral enhancement and osseous buttressing, most consistent with a benign hemangioma. The bone marrow signal is otherwise within normal limits. No significant neuroforaminal or spinal canal stenosis. The soft tissues appear unremarkable.
No myelomatous lesion or other specific finding to account for the patient's symptoms.