Evaluate for metastasis and recurrent tumor. Again seen is a scarlike deformity involving the right lower thorax paraspinous soft tissues similar to prior. No discrete mass is seen to suggest recurrent tumor.No suspicious osseous lesions within the thoracic spine are appreciated. No evidence of epidural tumor. No abnormal signal within the thoracic cord.The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is a T1 and T2 hyperintensity in the left third and seventh ribs compatible with small hemangiomas. Degenerative changes with mild disc bulges are again seen throughout the thoracic spine. There is mild spinal canal stenosis at T11-T12 related to facet arthropathy and prominent ligamentum flavum thickening. There is mild right and moderate left neural foraminal stenosis at T11-T12. levels. Mild bilateral foraminal narrowing at T9-T10 and T10-T11 also again noted.Moderate degenerative changes in the cervical spine related to multiple disc osteophyte complexes at C3-C4, C4-C5, and C5-C6 with associated moderate cervical spinal canal stenosis suspected on the sagittal counting sequences covering the cervical spine.
1. Post-surgical changes of thoracic right paraspinous soft tissue tumor excision without evidence of recurrent tumor. No evidence of metastatic disease in the thoracic spine.2. Degenerative in the thoracic spine as above as well as involving the partially imaged cervical spine with up to moderate spinal canal stenosis suspected from C3-C4 to C5-C6.