Female, 51 years old, with sciatica, increased back pain with history of fall, works in the construction business. Thoracic:Vertebral body morphology is within normal limits. Edematous endplate degeneration is partially visualized at C7-T1. Minimal endplate edema is seen anteriorly at T11-12 with small Schmorl's nodes at this level as well. No concerning marrow replacement or evidence of significant marrow edema is seen. The spinal cord demonstrates normal signal intensity and morphology.Very small central disk protrusions are seen at T1-2 and T2-3. No significant spinal canal or neuroforaminal stenosis is seen.Lumbar:The L1 vertebral body is wedged anteriorly with about 40% loss of height. No increased STIR signal is seen within the L1 vertebral body.Remaining vertebral bodies demonstrate normal morphology and signal characteristics. A mild focal kyphotic angulation is evident centered at the L1 vertebral body, but otherwise, lumbar spine alignment is anatomic.Visualized conus and nerve roots of the cauda equina are unremarkable.T12-L1: Loss of disk height but no significant disk bulging or herniation. No spinal canal or neuroforaminal stenosis.L1-2: Mild bulging disk. No significant generalized spinal canal stenosis. Mild bilateral foraminal narrowing. L2-3: Mild facet hypertrophy and ligamentum flavum thickening. Mild laterally bulging disk. No significant generalized spinal canal stenosis. No significant neuroforaminal narrowing. L3-4: Moderate facet hypertrophy with small facet effusions and ligamentum flavum thickening. Mild laterally bulging disk. No significant generalized spinal canal stenosis. Minimal bilateral foraminal narrowing. L4-5: Moderate facet hypertrophy with facet complex edema, particularly on the left, and perhaps a small left ligamentum flavum cyst. No significant spinal canal or neuroforaminal stenosis. L5-S1: Moderate facet hypertrophy. No significant spinal canal or neuroforaminal stenosis.
1. Degenerative endplate disease is partially visualized at C7-T1. Elsewhere in the thoracic spine, only minimal degenerative disease is seen with no areas of high-grade spinal canal or neuroforaminal stenosis.2. Anterior wedging of the L1 vertebral body is probably chronic given lack of marrow edema.3. Mild disk degeneration through the lumbar region is seen. Moderate posterior element hypertrophy is also present at several levels. However, no areas of high-grade spinal canal or neuroforaminal stenosis are seen.