Patient presents with complaints of mid-back pain, possibly a thoracic compression fracture.  Onset of pain was [Date of onset] following [Mechanism of injury, e.g., fall, lifting heavy object, or insidious onset].  Pain is localized to the [Specific location, e.g., T4-T8 region] and described as [Character of pain, e.g., sharp, aching, burning].  Pain is aggravated by [Aggravating factors, e.g., movement, coughing, deep breathing] and relieved by [Relieving factors, e.g., rest, ice].  Patient reports [Associated symptoms, e.g., limited range of motion, numbness, tingling, radiating pain].  Past medical history includes [Relevant past medical history, e.g., osteoporosis, osteopenia, prior fractures, malignancy].  Medications include [Current medications].  Physical examination reveals [Physical exam findings, e.g., point tenderness over thoracic spine, kyphosis, decreased spinal range of motion, neurological deficits if present].  Differential diagnoses include thoracic compression fracture, intercostal neuralgia, musculoskeletal strain, and vertebral malignancy.  Imaging studies ordered include [Imaging ordered, e.g., thoracic spine X-ray, CT scan, MRI] to evaluate for vertebral compression fracture, assess bone density, and rule out other pathology.  Preliminary diagnosis is consistent with thoracic compression fracture based on clinical presentation and pending imaging confirmation.  Treatment plan includes pain management with [Pain management plan, e.g., analgesics, NSAIDs, opioids if necessary], activity modification, bracing if indicated, and referral to [Referrals, e.g., orthopedics, physical therapy] for further evaluation and management.  Patient education provided regarding fall prevention, proper body mechanics, and osteoporosis screening if applicable.  Follow-up scheduled in [Follow-up timeframe] to review imaging results and discuss further treatment options.