Clinical question: 51-year-old female had a new fall, follow-up compression fractures. Signs and symptoms: Left-sided buttock pain. Nonenhanced thoracic MRI:Examination of thoracic spine demonstrate no evidence of an acute fracture or malalignment.Advanced degenerative disc disease and loss of intervertebral disc heights at multiple levels and result in mild exaggeration of thoracic kyphosis remains nearly similar to prior CT of thoracic spine from 2014 study.There is postoperative changes of posterior fusion and including placement of bilateral transpedicular screws at T10, T11 and T 12 levels.There is normal signal intensity and caliber of the thoracic cord.There is no evidence of spinal canal or neural foramina compromise/stenosis at any level.Mild chronic compression deformity of superior endplate of T12 is identical to prior CT examination.Unremarkable paraspinal soft tissues.Nonenhanced lumbar MRI:Examination demonstrates normal anatomical alignment of vertebral column.Mild chronic compression fracture of the superior endplate of L1 similar to prior CT examination from 2014. No evidence of any acute posttraumatic compression fracture.There are multilevel placement of disc space devices at L1-L2, L2-L3, L3-L4 and L4-L5 levels as was noted on prior studies. There is redemonstration of post operative changes of posterior fusion and placement of bilateral transpedicular screws at L3, L4, L5 (only on the left) and S1 on the right.There is no evidence of spinal canal compromise or stenosis at any level. Extensive metallic hardware artifact precludes precise assessment for subtle findings and including neural foramina. Postoperative changes at L5 and L4-L5 disc levels with suggestion of placement of bone and metastatic device within the disc space appears similar to prior study as well. Extensive
1.Nonenhanced thoracic MRI demonstrate no evidence of acute posttraumatic changes. No evidence of spinal stenosis or neural foraminal compromise at any level. Extensive degenerative disc disease with loss of disc height and mild exaggeration of thoracic kyphosis remains similar to prior exams. Normal signal intensity and caliber of the cord.2.Nonenhanced MRI of the lumbar is severely degraded due to extensive surgical metallic hardware artifact however within this limitation there is no convincing evidence of a acute posttraumatic finding. No evidence of a spinal stenosis at any level. Stable extensive postoperative changes of posterior fusion in the lower lumbosacral spine and disc space prostheses throughout the lumbar spine as detailed above.