Pathological compression fracture of T5, with almost complete loss of anterior height causes acute thoracic kyphosis at this level. The combination of kyphosis and extraosseous tumour from the posterior T5 vertebral body causes severe spinal canal stenosis, without abnormal cord signal. Extraosseous extension of tumour is also noted anterior to the T4-6 vertebral bodies. Moderate right T4/5 and right T5/6 intervertebral foraminal stenosis. Mild compression fractures of T4 and T6. The rest of the thoracic vertebral bodies demonstrate normal alignment. Combination of facetal and ligamentum flavum hypertrophy at T9/10 and T10/11 cause moderate spinal canal stenosis.