 Thoracic: There is a severe compression fracture involving the T11 vertebral body with approximately 80% loss of height. There is no associated edema. There is mild compression fracture involving the T12 vertebral body with also evidence of a Schmorl's node involving the superior endplate. Small Schmorl's node is also evident involving the superior endplate of T6. These findings are all not significantly changed since CT dated 8/14/2015. Remainder of the thoracic vertebral body heights are normal. There is exaggerated thoracic kyphosis at the T11 level. There is severe disc height loss at the T10-T11 level above the severe compression fracture with partial fusion across the anterior aspect of the disc space better seen on prior CT. Mild multilevel degenerative changes are present in the remainder of the thoracic spine including minimal disc bulges and mild multilevel facet arthropathy and ligamentum flavum thickening. There is no significant spinal canal stenosis at any level. No high-grade neural foraminal stenosis is evident.Bone marrow signal is benign. No cord signal abnormality. Lumbar: There is a compression fracture involving the L2 vertebral body with up to 40% loss of height. There is edema within the vertebral body consistent with recent height loss. The compression fracture is new since CT dated 11/16/2016. There is a Schmorl's mode involving the anterior superior endplate of L5 with minimal loss of height involving the ventral aspect of the L5 vertebral body. Remainder of the vertebral body heights are maintained. Bone marrow signal is benign. Conus is in normal position.There is no significant spinal canal stenosis at any level in the lumbar spine. There is exaggeration of lumbar lordosis, levocurvature of the lower lumbar spine as well as grade 1 anterolisthesis of L4 and L5. There is mild to moderate right-sided and minimal left neural foraminal stenosis at the L4-L5 level related to severe facet arthropathy at this level, grade 1 anterolisthesis, disc bulge eccentric to the right and scoliosis. Moderate to severe facet arthropathy is also present bilaterally at the L5-S1 level and to a mild degree in the upper lumbar spine.There are bilateral renal cysts.
1. Multiple benign-appearing thoracic and lumbar compression fractures. The L2 vertebral body compression fracture is new since CT dated 11/16/2016 and appears slightly worse since radiograph dated 12/6/2016. There is edema within the L2 vertebral body. 2. There is a severe chronic compression fracture involving the T11 vertebral body with associated exaggerated kyphosis of the lower thoracic spine. Mild chronic compression fractures are present at T12 and L5 levels. There is no edema associated with these vertebral body compression fractures.3. Additional degenerative changes as described above. No significant spinal canal stenosis at any level.