Reason: T12 compression fracture History: point tenderness Unenhanced MRI of the thoracic spine:The radiology technologist in the MRI suite noted that patient was unable to lie flat and patient was placed within the gantry and while they head and neck were significant in the off center and superiorly in position. This results in significantly degraded images.The quality of the images are also deteriorated order to severe scoliosis of upper thoracic spine.Examination demonstrates as was noted on prior CT and mild compression fracture of superior endplate of T12 vertebrae and with resultant very minimal expansion of compressed vertebrae into spinal canal. There is no central spinal stenosis. There is mild compromise of the left neural foramina at this level due to degenerative changes. The signal intensity of the cord and its caliber is entirely within normal throughout the thoracic spine.Increased signal intensity on stir sequence within the vertebral body of T12 may indicated below. There is no detectable epidural or paraspinal soft tissue associated abnormality.Signal intensity of the rest of the vertebral bodies and posterior elements of thoracic spine are unremarkable.Without contrast region of metastatic disease cannot be ruled out.Again incidental note is made of bilateral pleural effusion. There is also revisualization of a low signal intensity mass along the superior aspect of the right kidney measuring approximately 70 mm in transaxial dimension. This finding may represent a tumor or a complex cyst of right kidney. A smaller cyst within the left kidney is identified which measures approximately 30 mm in transaxial dimension.Nonenhanced MRI of the cervical spine:Severely compromised exam due to above-described reasons. The alignment the vertebral column is unremarkable. Advanced degenerative disk disease is present. The signal intensity and caliber of the cord is grossly within normal. No definitive significant central spinal stenosis. There is however effacement of subarachnoid space at multiple levels due to bulging disks anteriorly and buckling of hypertrophy of ligamentum flavum posteriorly. Multi-level neural foramina compromise to the degenerative changes. Neural foramina cannot be assessed due to poor quality study.Nonenhanced MRI of thoracic spine:The signal intensity in the alignment of the lumbosacral spine is unremarkable. Mild degenerative disk disease throughout the lumbar spine. No central spinal stenosis at any level. No neural foramina compromise at any level. Axial T1-weighted images demonstrate fatty filum terminalis with slight thickening of the filum extending from L2 -- L3 intervertebral disk level inferiorly to S1.
1.MRI of cervical spine demonstrates degenerative changes of cervical spine with multilevel neural foramina compromise. Normal signal intensity and the alignment of the vertebral column. Normal signal intensity and caliber of the cord. Unremarkable signal intensity of vertebral column.2.MRI of thoracic spine demonstrates mild compression fracture of superior endplate of T12 with a numeral of the remaining body of T12 and minimal bulge of the compressed vertebra into the spinal canal however with no resultant central spinal stenosis. There is mild compromise of the left neural foramina at this level secondary to degenerative changes. Scoliosis of upper thoracic spine and resultant degenerative changes of the disk at the level of maximum scoliosis. Normal signal intensity and caliber of thoracic cord.3.MRI of thoracic spine is essentially unremarkable for bony abnormality, central spinal stenosis or neural foramina compromise. Fatty filum terminalis with thickening of the filum extends from L2 -- 3 disk space to S1 level.4.Tumor or a complex cyst measuring approximately 70 mm in transaxial dimension arising from the superior pole of right kidney as detailed above.5.Bilateral pleural effusion as described.Fatty filum terminal as detailed above.