54 year old female status post bike accident on 8/2014 with dyspareunia, evaluate known T12 compression fracture THORACIC SPINE:There is a moderate anterior compression deformity at T12 which demonstrates slightly increased loss of vertebral body height compared to the prior radiograph (now 10 mm, compared to prior 13-14 mm). There is linear T1 hypointense signal through the posterior T12 vertebral body on the left side with associated mild STIR hyperintense edema and enhancement. The endplates appear intact. There is trace retropulsion of fracture fragments along the superior endplate with mild flattening of the ventral thecal sac. There is mild central canal narrowing at the upper T12 level. Signal within the cord is normal. There is mild facet arthropathy at T11-12, however no neuroforaminal stenosis is evident.Mild disk desiccation and narrowing is noted at T10-T11. The remaining disks appear normal. Alignment and marrow signal throughout the remainder of the thoracic spine is normal without neuroforaminal or central canal stenosis.LUMBAR SPINE:Compression deformity at T12 as previously described. Otherwise, marrow signal within the lumbar spine is normal. Alignment of the lumbar spine is anatomic. No acute fractures are evident within the lumbar spine. Vertebral body heights are preserved and disk spaces maintained. No abnormal enhancement within the lumbar spine. Signal within the distal cord and conus is normal, ending low normal at L2-L3.T12-L1: Broad-based disk bulge. Mild facet arthropathy. No central canal or neural frontal stenosis.L1-L2: No central canal or neuroforaminal stenosis.L2-L3: No central canal or neuroforaminal stenosis.L3-L4: No central canal or neuroforaminal stenosis.L4-L5: No central canal or neuroforaminal stenosis.L5-S1: No central canal or neuroforaminal stenosis.
Moderate compression deformity at T12 is slightly progressed when compared to the prior radiograph. Associated enhancement and edema is noted at this level, in a somewhat linear fashion extending posteriorly, which may represent a superimposed subacute injury, for which clinical correlation is recommended. Trace retropulsion of fracture fragments, with mild central spinal canal stenosis at T11-12. No significant foraminal narrowing.