 Thoracic spine: There has been interval approximately 50% height loss T8 vertebral body, which demonstrates abnormal bone marrow signal. There is also 4 mm of retropulsion with partial effacement of the ventral thecal sac. However, there is no evidence of spinal cord compression or abnormal spinal cord signal. There is mild overall spinal canal stenosis at the T8 level. There is moderate narrowing of the left neural foramen at T8-T9. Lumbar spine: There is normal alignment of the lumbar spine, with a normal lumbar lordosis. The vertebral body heights are well-maintained. There is no abnormal bone marrow signal. There is moderate loss of intervertebral disc height at L4-L5 and mild loss of intervertebral disc height at the remaining levels of the lumbar spine. There are disc bulges at L2-L3, L3-L4, L4-L5 and L5-S1. There is bilateral facet arthropathy and mild ligamentum flavum thickening from L2-L3 to L5-S1. There is resultant moderate spinal canal stenosis at L3-L4 and L4-L5. There is mild bilateral neural foraminal narrowing at L3-L4 through L5-S1. There is unchanged nodularity of the left adrenal gland. There is a left renal cyst.
1. Pathologic compression fracture of the T8 vertebral body with 50% loss of vertebral body height and mild retropulsion with mild resultant spinal canal stenosis, but no spinal cord compression or abnormal signal.2. Multilevel lumbar spondylosis with up to moderate spinal canal stenosis at L3-4 and L4-L5.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.