67 years Male (DOB:7/26/1948)Reason: history of lumbar fracture compare to previous MRI History: low back painReferring Attending: JAVAD HEKMATPANAH 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. There is a well formed disc at S1-S2.There is a compression fracture present at L5 with approximately 30% loss of vertebral body height. It is unchanged since prior examAt L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a diffuse disc bulge at this level as well as disc desiccation. There is moderate facet hypertrophy at this level. There is narrowing of the neural foramina bilaterally with mild encroachment of the exiting nerve roots within the neural foramina.At L4-5 there is a disc bulge at this associated with mild facet hypertrophy. The left neural foramen is mild encroachment of the left recess and partial effacement of fat at the left lateral recess. There is encroachment of the nerve roots of the left lateral recess at this level. There is narrowing of neural foramina bilaterally at this level. The exiting nerve roots are surrounded by fat within the neural foramina.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. There is a Schmorl's node present at this level associated with endplate reactive changes which are bright on T1.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There is a well formed disc at S1-S2. We assume L5 to be the compressed vertebral body.2.There is a stable compression fracture 5 which has generally a benign appearance.3.There are degenerative changes present in the lumbar spine with encroachment of nerve roots at the left lateral recess at L4-5.