The body and left pedicle of T6 are largely replaced by hypointense-enhancing material. Changes in the trabecula and the cortex are also present and the features are entirely in keeping with the clinical history of hemangioma. There is extraosseous hemangioma as well on the left lateral aspect of the vertebral body and also in the left anterior and left lateral aspect of the epidural space at the same level. The combination of features results in minimal flattening of the lateral diameters of the canal.
Similar changes are present in the left pedicle of T7. The extraosseous soft tissue material probably narrows the left T6-T7 exit foramen to a mild degree. It would require clinical correlation to determine whether the left T6 root is affected by this process.
No other relevant abnormal finding.
COMMENT:
Bony hemangioma of the body and left pedicle of T6 and also at the left pedicle of T7. There is a significant amount of intra and extradural extraosseous soft tissuematerial. At this stage this probably impacts upon the left T6 root at foramen leveland it displaces but does not compress the cord in the midthoracic region.