Male, 73 years old, with pain in the right thigh and knee on walking, improved with rest. Spinal alignment is anatomic. Marrow signal characteristics are slightly heterogeneous but predominantly fatty replaced. No evidence of marrow edema is seen.Central endplate concavity is seen inferiorly at L1, inferiorly at L2, and superiorly at L5. A generalized compression deformity of the T12 vertebral body with approximately 30-40% loss of vertebral body height and trace retropulsion is seen, but there is no evidence of marrow edema. The visualized distal spinal cord, conus and cauda equina are unremarkable.Hyperintense T1/T2 signal within the T10-11, T11-12 and L1-2 intervertebral discs may represent disc mineralization. Level specific degenerative findings are as follows:L1-2: No significant spinal canal stenosis or neuroforaminal narrowing. L2-3: Minimal bulging disc. No significant spinal canal stenosis or neuroforaminal narrowing. L3-4: Minimal bulging disc. No significant spinal canal. Mild bilateral foraminal narrowing. L4-5: Facet hypertrophy. Ligamentum flavum thickening. Minimal bulging disc. No significant spinal canal stenosis. Moderate bilateral foraminal narrowing. L5-S1: Facet hypertrophy. Minimal bulging disc. No significant spinal canal stenosis. Mild to moderate bilateral foraminal narrowing. Within the lumen of the aorta at the T12 level, an area of undulating irregular signal density is seen (see image 1 series 8).
1.Degenerative findings but no significant spinal canal stenosis.2.Scattered mild-to-moderate foraminal narrowing.3.Scattered central endplate cavities are noted as well as generalized compression deformity of the T12 vertebral body which is likely chronic.4.Incidental note is made of undulating irregular signal within the aortic lumen at the T12 level. This could potentially be artifactual but dedicated vascular imaging can be considered to exclude true vascular pathology.