 The study is severely limited due to artifact.Focal kyphosis is noted at T10-T11, new from the prior MRI dated 10/9/2014, however likely unchanged from the recent MRI dated 6/5/2015. Disc protrusion at this level again indents on the ventral spinal cord, however no cord signal abnormality is identified. Severe loss of disc height and wedge deformity of the T11 vertebral body are again noted. The T10 vertebral body is only partially visualized and there may be compression deformity of the T10 vertebral body as well. Increased T1/T2 signal is seen along the depressed superior endplate of T11. Paraspinal edema seen at the T10-T11 level, right greater than left, on the STIR images which raises concern for inflammation/infection.Subcutaneous edema is seen in the soft tissues superficial to the lumbar spine. There are no fractures or subluxations. Multiple T1/T2 hyperintense lesions seen throughout the vertebral bodies are favored to represent hemangiomas. The conus is normal in signal and morphology and terminates at an appropriate level.Multilevel degenerative disc disease is seen predominantly in the lower lumbar spine with diffuse disc bulges at L4-L5 and L5-S1. While there is no central canal stenosis, moderate bilateral neural foraminal stenosis is seen at these levels.
1.Severely limited study due to artifact.2.Focal kyphosis at T10-11 is again seen with severe loss of disc height and compression fractures. This area is incompletely imaged, however given the paraspinal edema at this level, the possibility for an underlying osteomyelitis/discitis must be raised. These findings can be correlated with CT imaging if desired as the patient may better tolerate CT than MRI.