 For the purposes of this dictation, the last well formed disk space is referred to as L5-S1.There is mild high T2 signal in the T12 through L3 vertebral bodies, with minimal superior end plate cortical disruptions, consistent with acute compression fractures. There is mild anterior wedge deformities at these levels. The abnormal signal is relatively subtle at the T12 level, surrounding an area of focal sclerosis noted on CT along the anterior/superior endplate, likely representing focal fracture rather than more diffuse compression. There is no significant change in affected vertebral body heights compared to outside CT. There is no significant retropulsion into the spinal canal, or epidural hematoma. There is no significant cord signal abnormality. There is mild disk height loss at T11-T12.Elsewhere, the osseous marrow shows low T1 signal diffusely without focal lesion, within normal limits for patient's age.There is no significant disk herniation or spinal stenosis in the thoracic spine. There is normal alignment of the thoracic spine with preserved disk heights.There is normal alignment of the lumbar spine. The conus terminates at L1-2. There is high T1 signal in the posterior intradural space extending from L2 to L4 level distal to the conus, measuring up to 3 mm at the L1-L2 level, possibly representing filum lipoma. At L5-S1, the filum terminale is not fatty infiltrated or thickened.L5-S1: Mild disk bulge, ventral epidural fat. There is a left L5 pars interarticularis defect better visualized on the outside CT.There is no significant disk herniation or spinal stenosis at any other level in the lumbar spine.There is partial visualization of uterus with fluid signal within the endometrial canal which likely is physiologic. There is also a rounded fluid signal intensity structure within the left hemipelvis, likely related to the left ovary. This measures 1.7 cm and likely represents a functional cyst.
1.Mild superior end plate cortical acute compression fractures of L1 through L3 without retropulsion or epidural hematoma. Slightly more focal fracture along the anterior/superior endplate of T12. Mild disk height loss at T11-T12. 2.No spinal stenosis or cord signal abnormality.3.Minimal disk degenerative changes in the lumbar spine. Incidental left L5 pars interarticularis defect without spondylolisthesis.4.Likely incidental filar lipoma extending from L2 to L4 level measuring up to 3 mm at the L1-L2 level with normal conus termination.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.