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  • dennis_fd
    Participant
    Post count: 1

    Dear Dr. Corenman,

    I was wondering if I could get your help with my thoracic MRI report – I’m not sure what the radiographer is saying here:

    “There is slight anterior height reduction of T7 vertebral body, which is showing oval T1W, T2W signal change / lesion in its posterior/superior aspect on the left, with corresponding subtle increased signal on STIR sequence (ID 7, 8, 10 image 8 of 13) – ? any red flags. This requires strong clinical correlation and comparison with any previous imaging if available in the first instance. If clinically warranted a bone scan would be helpful for further evaluation.”

    I mean I get the gist of it – in essence “something” is showing up around the T7 vertebra that warrants further investigation, but what exactly does it mean?

    Many thanks in advance for your help,

    Kind regards,

    Dennis

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    He is noting subtle changes which could or could not be significant. I’m unclear what he is concerned about but I assume that he wants another scan in the future. He does not give a differential. Maybe ask him what his differential is.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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