Female 77 years old Reason: Evaluate for discitis/osteomyelitis History: ?discitis of L4 on CTA Multiple endplate deformities with mild loss of height of L3, L4 and L5 vertebral bodies. Endplate deformity of L5 is stable dating back to 5/31/2014. L3 is stable dating back to 3/2/2016. L4 endplate deformity is new as of 4/11/2016 CTA abdomen pelvis. There is edema signal involving the inferior endplate of L4 with Schmorl's node. There is also an L3 Schmorl's node. Overall these findings are compatible with multiple Schmorl's nodes/mild compression fractures. Edema signal and L4 is compatible with recent injury. There is associated enhancement of the endplate of L4. No suspicious enhancement is seen. There is no evidence of discitis/ostial myelitis. Abdominal aortic aneurysm is incompletely imaged, please refer to 4/11/2016 CT angiography abdomen and pelvis.T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina. Small focal ectasia/perineural cyst involving the right L1 nerve root.L2-L3: Mild disc bulge. No neural foraminal or spinal canal stenosis.L3-L4: Mild disc bulge. Minimal neural foraminal narrowing. No spinal canal stenosis.L4-5: Moderate disc bulge. Moderate right and mild to moderate left neural foraminal narrowing. Mild central spinal stenosis. Partial effacement of the lateral recesses.L5-S1: There is no significant compromise to spinal canal or neural foramina.
1.Multiple endplate deformities of L3, L4 and L5 vertebral bodies consistent with mild compression fractures with Schmorl's nodes. L4 endplate deformity is recent given edema signal, as noted on CT.2.No evidence of discitis/osteomyelitis.3.Degenerative changes as described above worst at the L4-L5 level. Please see details above.