Pathological fracture, other site, subsequent encounter for fracture with delayed healing [M84.48XG], Reason for Study: ^Reason: T8 compression fracture, please obtain STIR images to evaluate acuity of fracture There are multifocal abnormal bone marrow signal on thoracic vertebral bodies including T7, T8, T9, T10, and T11 suggesting metastatic lesions.At the level of T7, T8 and T9, the STIR images show high signal intensity indicate possible acute/subacute bone marrow edema.Comparing to prior scan, the T8 vertebral body height has been decreased implying progressive compression fracture. There is moderate to severe degree spinal stenosis at the level of T8, however, the spinal cord signal intensity appears to be normal.The T9 vertebral body shows about 10% of compression fracture, T10 and T11 vertebral bodies show abnormal signal intensity lesions with bone marrow edema without losing the vertebral body height suggesting metastatic lesions.Multifocal degenerative changes of intervertebral discs which abuts thecal sac on lower thoracic and upper lumbar region.
1. Progressed compression fracture of T8 vertebral body with sustained bone marrow edema indicating chronic compression fracture with acute component. Mild retropulsion of the compression fracture narrowed spinal canal at this level but the spinal cord signal intensity appears to be normal.2. About 10% of acute compression fracture at the level of T9 without retropulsion.3. Multiple vertebral body metastasis with bone marrow edema at the level of T7, T10 and T11.