Male, 89 years old, with spinal pain and weakness, lumbar spine fracture. For the sake of consistency, the numbering scheme utilized on the preliminary interpretation will be preserved. Please note that with this numbering scheme, L1 is a rib-bearing vertebral body and S1 demonstrates a transitional lumbosacral morphology.STIR hyperintensity compatible with edema is evident within the L2 vertebral body correlating with known fractures. Vertebral body height is preserved and there is no evidence of significant retropulsion.Elsewhere, vertebral body signal characteristics are unremarkable allowing for degenerative endplate changes most notably at L5-S1. Trace retrolisthesis of L5 relative to S1 is seen. Otherwise, spinal alignment is anatomic.The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are suspected.A renal cyst is demonstrated on the left.L1-2: No significant spinal canal stenosis or neuroforaminal narrowing. L2-3: Minimal disc bulging. No significant spinal canal or foraminal stenosis. L3-4: Facet arthropathy. Minimal disc bulging. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. L4-5: Facet arthropathy. Loss of disc height and mild disc bulging. No significant spinal canal stenosis. Moderate bilateral foraminal narrowing. L5-S1: Facet arthropathy and ligamentum flavum thickening. Loss of disc height with disc bulging and osteophytic ridging. No significant generalized spinal canal. Moderate to severe bilateral foraminal narrowing.
1.Edema is evident within the L2 vertebral body compatible with known fracturing.2.No additional areas of marrow edema are seen.3.Degeneration of the disks and posterior elements is seen contributing to significant foraminal stenoses at lower lumbar levels.