51 years Male (DOB: 5/20/1965)Reason: fall down flight of stairs following syncopal event, now with severe mid back pain (interscapularly) and low back pain with left leg numbness and pain, eval for fracture eval disk herniation History: severe mid back pain (interscapularly) and low back pain, left leg numbness, weakness and burning sensationPROVIDER NAME: KEVIN C CONCORDIA TIEN S DONG Thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. No abnormal lesions are identified in the thoracic spine.There are Schmorl's nodes present at the T7-T8 disc space level. At the T2-3 interspinous ligaments there is T2 signal hyperintensity present on the T2 STIR images. There is a small right paramedian disc protrusion at T6-7. Additional Schmorl's node is present at T10-T11. A sclerotic focus is present within the T12 vertebral body measuring approximately 5 mm in size. In isolation this is of unknown clinical significance.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. No abnormal lesions are identified in the lumbar spine. There is mild multilevel disc desiccation present. Some mild epidural lipomatosis present in the lower lumbar spine at the L5 level and the sacral level. At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present at this level.At L4-5 there is no significant compromise to spinal canal or 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.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are mild degenerative changes present in the thoracic and lumbar spine without significant compromise to the spinal canal or exiting nerve roots.2.Findings raise the question of some ligamentous injury at the T2 -T3 interspinous ligament