Chronic nonalcoholic liver disease. Cirrhosis. Closed fracture of the lumbar spine with possible spinal cord injury. Urinary retention/incontinence, constipation and lower extremely weakness. Evaluate for cord compression. Five lumbar type vertebral bodies are presumed to be present. There is a T12 anterior wedge compression fracture with up to 50 percent loss of height and mild edema. A Schmorl's node is noted at this level. There is also a compression fracture at L2 with 30 percent loss of height and moderate edema. No significant osseous retropulsion. Remainder of the vertebral body heights are preserved. There is minimal retrolisthesis at L4-5. There is grade 1 anterolisthesis at L5-S1 with bilateral pars defects at L5. Bone marrow signal is benign. The conus medullaris is normal in position.There is moderate left and mild right neural foraminal stenosis at L5-S1. No significant spinal canal stenosis at any level to suggest compression of the cauda equina.
1.No evidence of cauda equina compression.2.Acute-appearing compression fracture at L2 with 30% loss of height. Subacute to chronic compression fracture involving the T12 vertebral body with up to 50% loss of height.3.Moderate left and mild right L5-S1 neural foraminal stenosis. Isthmic spondylolisthesis noted at L5-S1.