Female, 62 years old, with back pain and history of multiple myeloma. Compression fracture on recent prior CT imaging. Assess for acuity. A compression deformity of the T5 vertebral body is new when compared to the prior MRI with approximately 40% loss of vertebral body height. There is very mild associated STIR signal abnormality within the vertebral body.A compression deformity of the T8 vertebral body with 50% loss of height is unchanged from the prior MRI. Mild compression of the T11 and T12 vertebral bodies, and significant compression of the L1 vertebral body with at least 60% loss of height are unchanged. Findings compatible with interval vertebroplasty are seen at T12 and L1.At the L1 level, there is very minimal retropulsion of the superior aspect of the vertebral body which effaces the ventral thecal sac but does not impinge the conus or cauda equina. No other areas of significant spinal canal stenosis are seen. The neural foramina also appear to be patent throughout.Expansile marrow replacement involving the right T9 transverse process is unchanged. Small foci of marrow signal abnormality within the T1 and T7 vertebral bodies are new and nonspecific. The marrow signal of the thoracic spine is overall heterogeneous.The thoracic kyphosis is exaggerated at T5 but sagittal alignment is otherwise unremarkable.
1.A compression deformity of the T5 vertebral body is new when compared to the prior MRI. However lack of significant marrow edema would suggest that this lesion is at least subacute if not chronic.2.Compression deformities involving T8, T11, T12 and L1 are unchanged allowing for evidence of interval kyphoplasty at T12 and L1.3.No areas of significant spinal canal or neuroforaminal compromise are seen.4.New small areas of focal marrow signal abnormality within T1 and T7 are nonspecific, on a background of diffuse marrow heterogeneity.