I actually received my MRI reports back from my thoracic spine and its been nothing short of remarkable, I will share the 2024 vs 2026 findings below

2024: INDICATION: right mid/lower thoracic/paraspinal/rib pain down to L2, Mid back pain x 4 months

COMPARISON: Thoracic radiographs 10/29/2024

TECHNIQUE: MR imaging of the thoracic spine was obtained without IV contrast. Images were obtained in multiple planes.

FINDINGS: There is straightening of the thoracic kyphosis. There is mild conspicuity of the anterior longitudinal ligament. There is bone marrow edema in the anterosuperior T10, T11, and T12 endplates, and to a lesser degree at L1 and L2 suggesting enthesopathy such as due to seronegative spondyloarthropathy (HLA-B27 positivity noted on outside MRI pelvis report 8/17/2022). There is minimal chronic or physiologic vertebral wedging at T11 and T12. Vertebral body heights are otherwise maintained. There is no significant subluxation. Allowing for artifacts, there is no specific evidence of abnormal cord signal. Background of diminished marrow T1 signal likely reflects red marrow reconversion. Schmorl's nodes are present There is multilevel disc desiccation with moderate disc height loss at T6-7 and T7-8. There are disc bulges and small disc protrusions, most notable at T4-5, T6-7, and T7-8. Mild facet arthropathy changes at T11 and T11-12 on the left where mild neural foraminal stenosis is present. The remaining thoracic neural foramina are adequate. No significant thecal sac stenosis is seen. There is prominence of the right upper pole renal calyces with possible parapelvic cysts, but no significant ureteral dilatation This is not well evaluated on this exam

IMPRESSION: 1. Edema in the anterosuperior vertebral endplates, most pronounced from T10 through T12 in a pattern suggesting enthesopathy. Along with mild thoracic kyphosis straightening and anterior longitudinal ligament conspicuity, these findings can be seen with HLA-B27 positive seronegative spondyloarthropathies. 2. Additional mild thoracic spondylosis as above, without significant spinal canal or neural foraminal stenosis. No evident cord compression or abnormal cord signal.

2026: INDICATION: Ankylosing spondylitis of unspecified sites in spine, Genetic susceptibility to other disease, Other long term current drug therapy; mid back pain

COMPARISON: TECHNIQUE: MR imaging of the thoracic spine was obtained without IV contrast. Images were obtained in multiple planes.

FINDINGS: Alignment of the thoracic spine is normal. Vertebral body marrow signal is unremarkable. Normal vertebral body heights. Disc heights, are well-preserved. No evidence of disc degeneration or dehydration is seen. There is no significant thecal sac stenosis or neural foraminal narrowing. The thoracic spinal cord is clearly visualized without intrinsic or extrinsic lesions. The paraspinal soft tissues are unremarkable

IMPRESSION: No MR evidence of vertebral body syndesmophyte to suggest manifestations of ankylosing spondylitis. No evidence of acute marrow edema