68-year-old female with history of lumbar cyst and compression fractures presenting with worsening back pain, incontinence. There are mild to moderate multilevel degenerative changes throughout the cervical spine with disc osteophyte complexes. No high-grade stenosis. There are multiple compression fractures throughout the spine at T5, T6, T7, T8, T10, T12 and all lumbar levels.. There is increased STIR signal intensity within L1 and L2 and to a lesser degree at T10 and T12.There is partial effacement of the ventral thecal sac at T12 related to osseous retropulsion. There is mild neural foraminal narrowing at L1-L2. The spinal cord has grossly normal signal characteristics and overall morphology. There is no compromise of the spinal cord.
1. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No cord compression is identified.2. Multiple thoracic and lumbar compression fractures, most severe at T12 where there is mild osseous retropulsion without high-grade spinal canal stenosis. Edema within L1 and L2 and to a lesser degree T10 and T12 vertebral bodies may represent more acute compression fractures. Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.