34 years Male (DOB:4/7/1982)Reason: eval t spine, prior mass History: left chest pain at t7 dermatomePROVIDER/ATTENDING NAME: DAVID M. LIEBOVITZ REEM H JAN The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is redemonstration of a posterior epidural enhancing lesion measuring 36 x 6 mm sagittal dimensions which is slightly eccentric towards the left. It displaces the spinal cord anteriorly nearly effaces the spinal fluid adjacent to it has not changed substantially compared to the January exam. It extends from T7-8 to T8-9. There is a central disc protrusion at T7-8 which in combination with the posterior epidural lesion and narrows the spinal canal further radial mild degree of spinal stenosis. The lesion extends towards the left T8-9 neural foramen..
There is redemonstration of a posterior epidural spinal lesion which remains stable compared to the previous exam. It is associated with a mild degree of spinal stenosis and some encroachment of left-sided exiting nerve roots at T8-9. Differential considerations include epidural hemangioma, neurofibroma, meningioma, neurinoma.