31-year-old male with L1 compression fracture There is normal lumbar lordosis. Multilevel superior and inferior endplate undulation with multiple Schmorl's nodes with sclerotic margins. Unusually large lucency of the L5 vertebral body with well defined margins extending from the intravertebral disk and associated with L5 superior endplate depression most likely representing a large Schmorl's node. Minimal anterior wedging of T12 and L1 vertebral bodies is noted. Otherwise the pedicles, lamina, facets, and posterior elements are intact without evidence of fracture or subluxation. At the level of the L5-S1 there degenerative disk disease with posterior disk bulge to the right of the midline causing moderate neuroforamina narrowing.Otherwise there is no significant neuroforaminal narrowing on the lumbar spine.The thecal sac and spinal cord are preserved with no evidence of spinal canal stenosis. The paraspinal and prevertebral soft tissues are unremarkable.
1.Findings compatible with Scheuermann's disease no acute fractures identified.2.L5-S1 degenerative disk disease with moderate right neuroforaminal narrowing.