Patient Data
Age: 7 years
Gender: Male
From the case:
Mid-thoracic pediatric trauma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/23749/annotated_viewer_json?lang=us"}
The vertebral bodies in the mid-thoracic spine are rounded anteriorly which is simply a feature of the developing pediatric spine.
From the case:
Mid-thoracic pediatric trauma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/23750/annotated_viewer_json?lang=us"}
The rounded anterior margin of the thoracic vertebra represents normal development and is not pathological. Each of the vertebra are wrapped in cartilage and there is no increased high signal in the vertebral bodies.
Incidentally, there is a Chiari I malformation and an extensive thoracic syrinx.
Case Discussion
The pediatric spine is full of subtle ossific densities and "abnormal" contours, most of which actually represent normal development.