Female 42 years old Reason: mvc, midline tenderness around t 10, low back pain, knee pain Thoracic spine: No acute fracture or malalignment. The vertebral body heights and disc spaces are maintained. Evaluation of T1 is somewhat limited secondary to overlying anatomy.Lumbar spine: Vertebral body heights maintained. Alignment is within normal limits. Mild to moderate degenerative disc disease at L5-S1, unchanged from MRI 8/3/2015. Right knee: Triangular appearing ossific density overlying the anterior tibial plateau, near the midline may represent a loose body or a fracture fragment, however no donor site or fracture line is identified. Fabella is present posterior to the knee and minimal osteoarthritis affects the right knee. Joint effusion is present.
1.Ossific density within the right knee joint space may represent a loose body, or fracture fragment, however no donor site or fracture line is identified. CT or MRI may be performed to determine acuity and/or origin of this fragment, if clinically warranted.2.Normal radiograph of the thoracic spine.3.Degenerative disc disease affects L5-S1.