Unspecified fracture of unspecified lumbar vertebra, initial encounter for closed fracture [S32.009A], Reason for Study: ^Reason: lumbar fracture 3 month follow up History: lumbar fracture 3 month follow up For the purpose of this dictation, and to be continuous with the prior MR scan, the fractured vertebral body was numbered as L5. Comparing to prior scan, the vertical fracture line of the L5 vertebral body traversing from the superior endplate to inferior endplate is more conspicuous on the scan. Regarding the bone marrow edema of L5 vertebral body, the extent this is significantly decreased than prior scan are still remained especially on the anterior aspect of the L5 vertebral body. In addition, the degree of compression fracture of L5 vertebral body appears to be slightly aggravated since prior scan.Schmorl's node on the inferior endplate of L2 vertebral body does not show any significant interval change.The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The conus medullaris terminates at the L1-L2 level. Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: Diffuse bulging of disc, no neuroforaminal narrowing or spinal stenosis. L3-L4: Diffuse bulging of disc, no neuroforaminal narrowing or spinal stenosis. L4-L5: Broad-based disc protrusion central to left which extends toward left lateral recess creating mild left neuroforaminal narrowing. No change since prior scan. L5-S1: Diffuse bulging of disc, minimal anterolisthesis of L5S1, mild to minimal right lateral recess stenosis, no change since prior scan.
1. More conspicuous visualization of cortical fracture line of L5 vertebral body and slightly progressed the degree of compression fracture since prior scan.2. Interval decrease of bone marrow edema of L5 vertebral body.3. No change of Schmorl's node.4. No change of left lateral recess stenosis at the level of L45 and right lateral recess stenosis of L5S1.