Patient presents with complaints of thoracic back pain, upper back pain, and intercostal muscle pain, consistent with a suspected thoracic sprain.  Onset of pain was reported as [acute/gradual] and occurred [date of onset] following [mechanism of injury; e.g., lifting heavy object, twisting motion, fall, sports injury].  Pain is localized to the [specify thoracic level; e.g., mid-thoracic region] and is described as [character of pain; e.g., sharp, dull, aching, stabbing].  Patient reports [exacerbating factors; e.g., deep breathing, coughing, sneezing, movement] and [alleviating factors; e.g., rest, ice, heat].  Physical examination reveals [objective findings; e.g., tenderness to palpation of paraspinal muscles, decreased range of motion in thoracic spine, muscle spasm].  No neurological deficits were noted.  Differential diagnosis includes intercostal neuralgia, rib fracture, and thoracic disc herniation.  Imaging studies [state imaging modality used; e.g., chest x-ray, thoracic spine x-ray] were [positive/negative] for [specific findings; e.g., fracture, dislocation].  Diagnosis of thoracic sprain is made based on clinical presentation, physical examination findings, and imaging results.  Treatment plan includes [conservative management options; e.g., rest, ice, heat, NSAIDs, muscle relaxants, physical therapy, chiropractic care].  Patient education provided regarding proper body mechanics, activity modification, and pain management strategies.  Follow-up scheduled in [duration; e.g., one week] to assess response to treatment.  ICD-10 code [appropriate ICD-10 code for thoracic sprain] is applied.