Reason: assess if changes in the spinal cord r/o radiculopathy, DJD History: loss of sensation in lower extremity , full strength Five lumbar type vertebral bodies are presumed to be present. There is mild compression fracture involving the superior endplate of the T12 vertebral body with evidence of edema. There are also Schmorl's nodes involving the inferior L2 and superior L3 endplates with associated edema. The Schmorl's node involving the superior endplate of L3 appears to be larger than on CT from 8/22/2016. There is also a Schmorl's node involving the superior L1 endplate without edema. There is minimal retrolisthesis of L5 on S1. Alignment is otherwise maintained. No suspicious osseous lesions are definitively appreciated within the limits of noncontrast study. The conus medullaris is at the lower limits of normal at the L2-L3 level.Multilevel degenerative changes are seen, as described below:T12-L1: Disc desiccation and minimal bulge. No spinal canal or neural foraminal stenosis.L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Mild disc bulge, ligamentum flavum thickening, and facet arthropathy. There is minimal narrowing of the spinal canal. There is also mild bilateral neural foraminal stenosis.L3-L4: Disc desiccation and minimal bulge. Minimal right neural foraminal narrowing and mild lateral displacement of the extraforaminal right L3 nerve root. No spinal canal or left neural foraminal stenosis.L4-L5: Mild disc bulge, asymmetric to the right. Bilateral facet arthropathy. There is mild left and minimal right narrowing of the neural foramina.L5-S1: Severe loss of disc height with vacuum phenomena and minimal retrolisthesis. Mild disc bulge and endplate osteophyte. There is also bilateral facet arthropathy, worse on the left. No spinal canal stenosis. There is mild to moderate, left worse than right, neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
1. Mild compression fracture involving the T12 vertebral body superior endplate with edema indicating recent loss of height. There are also Schmorl's nodes at multiple levels including ones with associated edema at the L2 and L3 levels.2. Multilevel degenerative changes, relatively worse at the L5-S1 level where there is mild to moderate bilateral, left relatively worse than right neural foraminal stenosis. There is also minimal narrowing of the spinal canal at the L2-L3 level. There is otherwise no significant spinal canal stenosis at any level. Additional levels as above.3. No evidence of metastatic disease within the limits of noncontrast study.