Low back pain [M54.5], Reason for Study: ^Reason: Back pain and h/o multiple myeloma and pathologic fracture History: Low back pain For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There are multi-level vertebral body compression fractures including L2, L3 and L4.The L2 shows about 50% and L3 shows about 30% of height loss with minimum retropulsion of fractured fragment. The L3 vertebral body shows signal void area which corresponds to injected PMMA.The L4 shows focal 20% (mainly posterior fragment) height loss with high signal intensity on STIR images, minimal or no retropulsion is seen.The signal of the visualized cord is normal. The conus medullaris terminates at the T12-L1 level. T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: diffuse bulging of disc, no neuroforaminal narrowing or spinal stenosis. L2-L3: diffuse bulging of disc, minimal bilateral neuroforaminal narrowing is seen. no evidence of spinal stenosis. L3-L4: diffuse bulging of disc with bilateral ligamentum flavum thickening results moderate spinal canal stenosis. L4-L5: diffuse bulging of disc with bilateral ligamentum flavum thickening results moderate spinal canal stenosis.. L5-S1: no neuroforaminal narrowing or spinal stenosis.
1. Multi-level compression fractures including L2, L3 and L4 as described above.2. Post PMMA injection status of L3.3. Multi-level various degree degenerative changes of lumbar spine as described above.