Question 1

what does, t1 hyperintense bone lesion in the first thoracic vertebral body is most likely a benign hemangioma , mean?

Accepted Answer

Incidental finding: This is an incidental finding that would be unrelated to reason for the test. It is a benign and common finding in bone that does not progress to anything. Just a "it's there"'comment by the radiologist.

Question 2

what does this mean?  't2 vertebral body lesion. differential possibilities include an atypical hemangioma vs less likely primary neoplasm of the vertebra. recommend a ct of the thoracic spine to evaluate for the internal architecture of the lession?

Accepted Answer

: All imaging results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that,  a CT examination of the spine is warranted, as advised you your doctor.   
Wish you good health!

Question 3

this is my x-ray diagnostic "no focal bone lesion, thoracic vertebral body compression fracture, degenerative bony lipping or disc height loss is see?

Accepted Answer

That is normal: The radiologist when they read a film will often say what they don't see to show that they looked for it.  A focal bone lesion is a tumor or fracture.  A compression fracture is a fracture from trauma or osteoporosis.  Disc loss height and degenerative body spurs are signs of arthritis. So what you quote here is the radiologist saying that they do not see any of that.

Question 4

surely, a thoracic surgeon must know if a round spot is a lung nodule, carcinoid or a coin lesion by looking at pet, ct and x-rays. yes or no?

Accepted Answer

Pathology specimen: The pathologist makes the diagnosis with the microscopic exam of a piece of the lesion. Even then, it can be challenging to get diagnosis. So the answer to your question is no. Stay with your thoracic surgeon, get your follow up exams, stop nicotine if you have that addiction. Ok to go for a second opinion. Take a friend with you and don't be surprised if you get same answer.

Question 5

symptoms of thoracic & diaphragmatic endometriosis?

Accepted Answer

Interesting question: Metastatic endometriosis is a very uncommon condition where endometrial tissue is found in a part of the body other than the reproductive tract.  It will still react to hormones on a monthly cycle no matter where it is.  Symptoms of thoracic, diaphragmatic, pulmonary endometriosis can be chest pain, shortness of breath, neck or shoulder pain, cough (either dry or coughing blood), etc, monthly.

Question 6

what are the symptoms of thoracic outlet syndrome?

Accepted Answer

Pain, numbness: Thoracic outlet syndrome can affect the vein, artery or nerves of the arms. Symptoms can include swelling of the arms, (vein compression) pain or numbness when using the arms overhead, or pain that can extend from the neck or shoulder down to the hands or fingers. Most symptoms are aggravated by doing things that narrow the space where vein, atery and nerve travelling to the arm are.

Question 7

symptoms of thoracic outlet syndrome and how can you help?

Accepted Answer

TOS: Patients with tos often find more symptoms when the arm is elevated overhead, and it is not unique to possess numbness and weakness in the involved hand.  Headaches, especially over the back of the head, may be present, but tos has been reported as triggering migraine events.  Feldenkreis therapy is often very helpful, but surgery may eventuate in about 10-15% of patients.

Question 8

what are the symptoms of recurrent thoracic outlet syndrome?

Accepted Answer

Radiating symptoms: Usually patient presents with numbness tingling and parathesias in the effected arm. Usually exacerbated when lifting arm above the head. Seek care for evaluation

Question 9

what are the symptoms of thoracic outlet syndrome and how can i address them?

Accepted Answer

Thoracic outlet: Symptoms include vague pain in the upper arm and axilla.  Frequently, numbness is felt into the hand, especially into the little and ring finger. Pain is usually exacerbated when the arms are placed at or above shoulder level. Diagnosis can be difficult.  Initial treatment is pt. Results of surgery are unpredictable.

Question 10

my dr said my thoracic syrinx is congenital and idiopathic i have never had symptoms. is it likely to grow? it worries me. it ws found by accident.

Accepted Answer

It may get larger: Yes, the syrinx can get larger with time.  If you follow up with doctor and keep them abreast of any changes in how you feel then, they will be able to determine whether or not it is growing and do the appropriate studies to check it out.  Otherwise, don't worry, you were born with it....Just be aware of it....Don't be obsessed with it.

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Doctor answers about:

Thoracic lesion symptoms

A member asked:

What does, t1 hyperintense bone lesion in the first thoracic vertebral body is most likely a benign hemangioma , mean?

A member asked:

What does this mean? 't2 vertebral body lesion. differential possibilities include an atypical hemangioma vs less likely primary neoplasm of the vertebra. recommend a ct of the thoracic spine to evaluate for the internal architecture of the lession?

A member asked:

This is my x-ray diagnostic "no focal bone lesion, thoracic vertebral body compression fracture, degenerative bony lipping or disc height loss is see?

A member asked:

Surely, a thoracic surgeon must know if a round spot is a lung nodule, carcinoid or a coin lesion by looking at pet, ct and x-rays. yes or no?

A member asked:

Symptoms of thoracic & diaphragmatic endometriosis?

A member asked:

What are the symptoms of thoracic outlet syndrome?

A member asked:

Symptoms of thoracic outlet syndrome and how can you help?

A member asked:

What are the symptoms of recurrent thoracic outlet syndrome?

A member asked:

What are the symptoms of thoracic outlet syndrome and how can i address them?

A member asked:

My dr said my thoracic syrinx is congenital and idiopathic i have never had symptoms. is it likely to grow? it worries me. it ws found by accident.

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