History of compression fracture. Thoracic spine: Again seen is a vertebra plana of the T12 vertebral body comparable to that seen on prior MRI in July, 2014. Mild multilevel degenerative disc disease affects the thoracic spine. There is approximately 55 degrees kyphosis as measured from the superior endplate of T1 to the inferior endplate of T11. Degenerative arthritis also affects the visualized cervical spine.Lumbar spine: The bones appear demineralized suggesting osteopenia. Severe degenerative disc disease affects the L5-L1 vertebral level and moderate to severe degenerative disc disease affects L4-L5. Facet joint osteoarthritis particularly affects the lower lumbar spine. There is mild dextroscoliosis of the thoracolumbar spine. A lumbar lordosis of approximately 60 degrees as measured from the superior endplate of L1 to the inferior endplate of L5 is seen. The degenerative disc disease and facet joint osteoarthritis appears similar to that seen on prior study.
Severe T12 compression fracture with degenerative arthritic changes of the thoracolumbar spine as above.