Female, 69 years old, with lumbosacral pain, with history of T11-12 fracture at outside hospital, evaluate for fracture and for neuroforaminal involvement. Thoracic:A compression deformity of the T12 vertebral body is seen with complete loss of height centrally. A compression deformity of the L1 vertebral body is also noted with 50-60% loss of vertebral body height centrally. Both vertebral bodies and the intervening disc spaces demonstrate mild STIR hyperintensity suggesting mild edema. No significant retropulsion is evident at either level. The intervening neural foramina are not significantly narrowed and the spinal canal is not compromised.The remaining vertebral bodies demonstrate normal morphology and are free of concerning marrow signal abnormality or edema. Sagittal spinal alignment is unremarkable with the exception of a mild accentuation of the kyphosis at T12 and L1. The visualized spinal cord is unremarkable. No epidural abnormalities are seen. No significant disc bulge or disc herniation is present, and the spinal canal and neural foramina remain patent.Lumbar:Based on counting from C2 down, and on the presence of the lowest set of visible ribs at T12, there are six lumbar type vertebral bodies with a mild transitional morphology of the L6 vertebral body.Compression deformity of the L1 vertebral body is discussed above. The remaining lumbar vertebral bodies demonstrate normal morphology. There is no concerning marrow replacement or marrow edema. Spinal alignment is anatomic.The conus tip terminates at the inferior L2 level which is within normal limits. The nerve roots of the cauda equina are unremarkable. No epidural abnormality is seen.L1-2: Unremarkable. L2-3: Mild facet arthropathy. Loss of disc T2 signal with preserved disc height. No significant spinal canal or foraminal stenosis. L3-4: Mild facet arthropathy. Loss of disc T2 signal with preserved disc height and minimal lateral disc bulging. No significant spinal canal or foraminal stenosis. L4-5: Mild facet arthropathy and ligamentum flavum thickening. No significant spinal canal or foraminal stenosis. L5-L6: Mild facet arthropathy and ligamentum flavum thickening. No significant spinal canal or foraminal stenosis. L6-S1: Moderate facet arthropathy. No significant spinal canal or foraminal stenosis.
1.Compression deformities of the T12 and L1 vertebral bodies are seen. Please note that the presence of six lumbar type vertebral bodies accounts for the difference in level numbering relative to the history. Both compressed vertebrae show mild marrow edema which would suggest a late acute or subacute time course. Neither vertebra is significantly retropulsed, and the spinal canal and neural foramina are not compromised.2.No additional compression deformities or significant osseous lesions are seen. Relatively mild degenerative findings are noted in the lumbar spine, but without significant spinal canal or foraminal stenosis.