Abstract: A thermal scanning system and method. The thermal scanning system comprises a handheld thermal scanning device with wheels and three infrared sensors that are spaced to scan skin temperature on opposite sides of patient spinal columns of different sizes. Two out of the three sensors are selected for a particular patient, and the wheels are adjustable to accommodate the two selected sensors. The handheld device further calculates the distance traveled by the wheels by measuring the rotation of the wheels. The device has a trigger that allows a user to annotate the location of various anatomical landmarks, such as particular regions of a patient's spinal column. The device is adapted to take discrete temperature readings or rolling temperature readings. The thermal scanning system provides graphical displays and data analysis of the temperature readings from the sensors.