Male 77 years old Reason: severe low back pain with radicular pain in right leg Moderate degenerative disc disease affects the L2-3 level. Marked degenerative disease at L4-5 and L5-S1. Compression fracture of the L5 vertebral body, which appears to have progressed since MRI 11/17/2015. The full extent of the L5 vertebral body is not well-visualized. However, there is apparent retropulsion of the L5 vertebral body secondary to this compression, however this is not well visualized on the radiograph. Again seen is bilateral L4 pars defects and a grade 1 anterolisthesis of L4 and L5. Hypertrophy of the spinous processes.
Compression fracture of L5 vertebral body appears to have progressed since most recent MRI, however the full extent of the L5 vertebral body is not well-visualized as detailed above. Cross-sectional imaging with CT or MRI is recommended for further evaluation.