Reason: eval compression fractures and spinal cord History: urinary and fecal retention Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment. There are compression fractures at L5 (10% loss of vertebral body height with superior endplate compression), L4(50% loss of vertebral body height with superior endplate compression and mild retropulsion), L2(20% loss of vertebral body height with superior endplate compression), L1(20% loss of vertebral body height with superior endplate compression), T12,(40% loss of vertebral body height with superior endplate compression and mild retropulsion) and T10(20% loss of vertebral body height with inferior endplate compression). There is no significant bone edema identified to suggest acute compression. Compared to 7/3/14 there is no significant progression of the degree of compression, however, the bone edema at L4 and T10 has resolved.The conus medullaris on sagittal imaging is grossly intact. There is multilevel loss of disk space height and disk dessication present.At L5-S1 there is no significant compromise to spinal canal. There is a disk bulge and facet hypertrophy at this level with bilateral encroachment of exiting nerve roots.At L4-5 there is no significant compromise to spinal canal. There is mild facet hypertrophy and a mild disk bulge at this level. There is narrowing of the neural foramina at this level with mild encroachment of right sided exiting nerve roots. This is stable compared to the prior exam. At L3-4 there is a disk bulge and moderate facet hypertrophy at this level as well as some L4 retropulsion resulting in moderate spinal stenosis. There is narrowing of the neural foramina at this level with mild encroachment of right sided exiting nerve roots. This is stable compared to the prior exam. At L2-3 there is no significant compromise to spinal canal or neural foramina. There is mild facet hypertrophy and a mild disk bulge at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina. There is mild facet hypertrophy and a mild disk bulge at this level.
1.There are multiple compression fractures in the lumbar spine and lower thoracic spine with mild retropulsion at L4 and T12. This is stable since the prior exam. Prior bone edema has resolved.2.Moderate spinal stenosis at L4-5 and encroachment of exiting nerve roots at L5-S1 as well as L4-5 and L3-4 is stable as detailed above.