New back pain. Thoracic spine: At the T7 and T8 vertebral bodies, there are changes of previous augmented vertebroplasty, where central vertebral body height loss remain not significantly changed nor the minimal T8 retropulsion. The compression fracture along the anterior inferior endplate of T6 is unchanged but there are anterior and central compression fractures at T9, T11 and T12, which are new since October 2015 though without associated marrow edema. There is unchanged focal fat in the left T5 lamina. There is mildly exaggerated kyphosis from the multilevel compression fractures. Multilevel disc desiccation is present. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The distal arch/proximal descending aorta is prominent and there is a small left pleural effusion. The paravertebral soft tissues are unremarkable.Lumbar spine: New central compression fractures involve all the lumbar vertebral bodies, which is most pronounced at L2 with up to 50% height loss in addition to fluid subjacent to the superior endplate and adjacent marrow edema, as well as linear hypointense signal in the posterior aspect of the vertebral body. Mild marrow edema is present superiorly at L1, L3 and L4. Sagittal alignment remains anatomic. There is no retropulsion or osseous expansion. Multilevel degenerative disc disease is not significantly changed and results in shallow ventral indentations of the thecal sac but no significant spinal canal stenosis. Facet arthropathy contributes to mild bilateral neural foraminal stenoses in the mid/lower lumbar spine, most pronounced on the left at L3-L4 and on the right at L4-L5 levels, where it is moderate. The conus medullaris displays normal signal and morphology with its tip lying at upper L2 level. The paraspinal muscles are atrophic. The paravertebral soft tissues are unremarkable otherwise.
1.Thoracic spine: New insufficiency compression fractures are present at T9, T11 and T12 without marrow edema, marrow replacement or retropulsion. T6-T8 compression fractures are unchanged since October 2015 except for changes of augmented vertebroplasty at T7 and T8. No thoracic spinal canal stenosis or cord abnormality. Incidental small left pleural effusion.2.Lumbar spine: New, since October 2015, insufficiency compression fractures at L1-L5, most pronounced at L2, where there is also fluid subjacent to the superior endplate, which may reflect unstable endplate fragment. There is mild marrow edema at the other levels but no retropulsion or osseous expansion. Multilevel degenerative disease has not changed, causing neural foraminal stenoses most on the left at L3-4 and on the right at L4-L5, but no significant spinal canal stenosis. Unremarkable conus medullaris.