54 years Female (DOB:1/1/1962)Reason: s/p fall, evaluation for vertebral compression fracture. History: pain significantly worse than 10 days agoPROVIDER/ATTENDING NAME: SAMANTHA C ISRAEL SAMANTHA C ISRAEL Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment. The conus medullaris on sagittal imaging is grossly intact.Since the prior examination bone cement has been placed within the right sacral alla were there is a known insufficiency fracture..There is redemonstration of burst fracture at L2 with retropulsion of fragments into the spinal canal and mild narrowing of the spinal canal. The appearance has not changed since the prior exam. There is T2 and FLAIR signal hyperintensity within the L2 vertebral body.There is redemonstration of a small lesion within the L3 vertebral body which is stable.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge present at this level. There is mild ligamentum flavum hypertrophy at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is mild ligamentum flavum hypertrophy at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There is a subacute compression fracture present at L2 with 50% loss of vertebral body height which is unchanged since prior exam.2.Since prior exam patient has undergone right sacral alla sacroplasty for an insufficiency fracture of the right sacral alla. There are edematous changes present within the right sacral ala which were also present on the prior exam.3.An L3 1cm lesion is stable.4.There are mild degenerative changes present in the lower lumbar spine mainly related to some facet hypertrophy.