Patient presents with thoracic scoliosis, characterized by a lateral curvature of the spine in the thoracic region.  Assessment includes evaluation of Cobb angle, rotational prominence, and spinal alignment.  Physical examination reveals asymmetry in shoulder height, scapular prominence, and rib hump.  Patient reports symptoms including back pain, stiffness, and potential respiratory compromise depending on the severity of the curvature.  Differential diagnosis considers idiopathic scoliosis, neuromuscular scoliosis, and congenital scoliosis.  Diagnostic imaging, such as standing scoliosis X-rays (PA and lateral), is utilized to measure the Cobb angle and assess vertebral rotation.  Treatment plan is determined by the severity of the curvature, skeletal maturity, and patient symptoms.  Options range from observation and serial radiographic monitoring for mild curves to bracing for moderate curves and surgical intervention, such as spinal fusion, for severe curves causing significant pain, deformity, or cardiopulmonary compromise.  Patient education emphasizes scoliosis exercises, posture correction, and brace compliance if applicable.  Medical coding will utilize ICD-10 codes such as M41 for scoliosis and related procedural codes for bracing, physical therapy, or surgical interventions.  Follow-up appointments are scheduled to monitor curve progression, assess treatment effectiveness, and address any patient concerns regarding their thoracic scoliosis management.