Female, 34 years old, with right hip and lumbar pain after a fall. Spinal alignment is anatomic. Vertebral body heights are preserved. No concerning marrow replacement or marrow edema is detected.Disc degeneration is seen at T11-12 and T12-L1 with loss of disc height and T2 signal. In addition, there appear to be intra-vertebral disc herniations arising from both the T11-12 and T12-L1 discs along the posterior midline aspect of T12 just beneath the posterior longitudinal ligament. This results in a slight posterior bowing of the T12 vertebral body, but no significant spinal canal stenosis. Again, no evidence of marrow edema is seen which would suggest that these findings are chronic.The remaining intervertebral discs show normal height and T2 signal characteristics. No evidence of any significant disc bulge or disc herniation is seen. No compromise of the spinal canal or neural foramina is detected.The visualized distal spinal cord, conus and nerve roots of the cauda equina are unremarkable. No epidural abnormalities are suspected.The stomach is partially visualized and appears to have settled posteriorly in the space normally occupied by the spleen. Furthermore, the stomach contains fluid and a large quantity of linear and curvilinear structures which do not resemble typical food material.
1.No definite acute lumbar spine injury. No significant spinal canal or neuroforaminal stenosis is observed.2.The T12 vertebral body demonstrates an unusual morphology which appears to reflect intra-vertebral disc herniations arising from T11-12 and T12-L1. These herniations project in the craniocaudal plane along the posterior midline aspect of the T12 vertebral body, just beneath the posterior longitudinal ligament. This results in a mild posterior bowing of the T12 vertebral body, but no significant spinal canal stenosis. Lack of marrow edema would suggest that these findings are chronic.3.The stomach is only partially visualized but appears to contain a large quantity of linear and curvilinear structures which are not typical for food material. The possibility of ingestion of foreign bodies or development of a bezoar should be considered. Dedicated abdominal imaging is suggested.