A bizarre issue. Pictures attached. Any help would be appreciated.

[Jasonm]

I ordinarily would not ask for medical help on an internet forum, however, I'd appreciate some ideas or suggestions if anyone has the time or interest in assisting me. Anyway, I've been struggling with severe upper left back pain for about 3 years. I had paresthesia in my left fingers and profound weakness of the left arm if it was raised above my head. Doing a corner pec stretch would exacerbate the numbness. After about 2 years on and off of PT, the numbness has resolved completely and the weakness has improved but is still present. I now get muscle twitches in my neck and in the upper left back and my scapula wings on that side with pushing movements. I've had a barrage of tests done including an MRI of the C-spine, CTA of the thorax, EMG (after the numbness had resolved), and the reports were normal.

The eventuality diagnosis was thoracic outlet syndrome by a vascular surgeon. He advised a first rib resection. I got a second opinion and that doctor disagreed and he referred me to a neck surgeon, who determined it was not my neck. At this point, had been waiting for 5 months to get into "the best manual therapist in my area", who practiced osteopathic manipulation. I went for a few months, saw no improvement and after he said he believed he could do skull adjustments, I gave up. I asked for a copy of my CTA and used some open source 3D medical imaging software that renders the 2D CT slides into a 3D image. Almost immediately I noticed something looked asymmetrical and strange. Directly in the spot the majority of my pain is to boot. I have a fairly good understanding of anatomy but I'm out of my depth on this one. The rib elevation on the symptomatic side appears to begin relatively low and gets to the point where the ribs appear to be virtually touching. I uploaded the non-symptomatic side up as well for comparison.

If someone has some ideas it would be greatly appreciated.

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