Spine pain and MRI report

Hi, all! Thanks for being here so we don't feel like the only ones going through stuff like this. I had an xray of my mid back after having right middle back pain on and off for almost 2 years, and been on for the past 4 months and getting worse. Then I had an MRI and got the results. My pcp is referring me to pain clinic dr for possible steroid injection but I am not sure that is the route I should be going in? Any suggestions welcome!
Xray: Procedure(s): XR THORACIC SPINE 3 VIEWS (STANDARD)
Date of service: 12/30/2025 7:43 AM

Provided clinical information: 60 years, Female, "chronic,
intermittent right-sided back pain"
Procedure and materials: Standard protocol.
Comparison studies: None.

Observations:
Kyphosis. Mild upper thoracic spinal levocurvature. Subtle mid
thoracic spinal dextrocurvature. Mild thoracolumbar spinal
levocurvature. The vertebral bodies heights and disc spaces are
well-maintained. No fracture.
MRI report: Impression
1. Mild multilevel degenerative changes of the thoracic spine without
focal abnormality identified subjacent to the marker at the level of
T10-T11.
2. Again demonstrated are multiple hepatic cysts, poorly visualized.

Signed by Michael-Isaac Walshon on 2/20/2026 7:32 PM
Narrative
EXAM TYPE: MR THORACIC SPINE WO CONTRAST
EXAM DATE AND TIME: 2/18/2026 8:09 PM
PROVIDED CLINICAL INFORMATION: 60 years, Female, "Chronic right lower
thoracic pain x 2 years, tried PT, chiropractor, massage, medication,
persistent pain"
COMPARISON: CT abdomen/pelvis 10/24/2025 and thoracic spine
radiographs 12/30/2025

TECHNIQUE: MR imaging of the thoracic spine was performed without
contrast. A radiopaque marker is noted overlying the right posterior
paracentral region at the level of T10-T11.

FINDINGS:
There is normal thoracic kyphosis. No subluxation. No prevertebral
soft tissue swelling. Vertebral body heights are maintained. Bone
marrow signal is unremarkable.

The thoracic cord is normal in size and signal characteristics.

There are small multilevel disc protrusions resulting in up to mild
spinal canal stenosis most prominent at T8-T9 and T10-T11. No
significant spinal canal stenosis or foraminal narrowing is
demonstrated.

Multiple hepatic cysts are again demonstrated and poorly visualized.
Multiple perineural cysts are present, the largest measuring 0.8 cm
within the right T9-T10 foramen, of uncertain significance.

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Drs message was - the MRI of your back does not show any major concerning findings there is multiple levels of small disc protrusions in the lower thoracic spine potentially be the source of your pain. The radiologist also comments on some cyst that are near where the nerves further in the back but hard to tell if these are playing a role in your symptoms

I would say based on these results there is some possible culprits for your persistent pain, but the cause is still not entirely clear to me. I think it may be worthwhile to see a pain specialist to see if they think a steroid injection in the back helps your symptoms and could give us a clue to which area the pain is coming from.
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Thank you!
Sue