Reason: lower back pain, right hip pain, left hip pain, right knee pain History: mechanical fall Lumbar spine: There are 5 lumbar vertebral bodies. There is grade 1 anterolisthesis of L4 on L5. There is anterior wedging of L1, which appears new compared to MRI dated 8/9/2011. Multilevel degenerative disc disease affects the lumbar spine, with most prominent loss of disc space height and vacuum-disc phenomenon at L1-L2. Moderate to severe facet osteoarthritis and hypertrophy of the posterior elements affects the lumbar spine.Right hip: Moderate osteoarthritis affects the right hip with heterotopic bone formation around the greater trochanter. We see no fracture. Left hip: Moderate osteoarthritis affects the left hip with heterotopic bone formation around the greater trochanter. We see no fracture.Right knee: There is a small joint effusion. Severe osteophytosis affects the right knee, with lateral, medial, and patellofemoral joint space narrowing and tricompartmental osteophytosis. We see no fracture.
1. New compression fracture of L1 compared to MRI dated 8/9/2011, of indeterminate age.2. Multilevel moderate to severe facet arthritis and degenerative disc disease of the lumbar spine.3. Grade 1 anterolisthesis of L4 on L5.4. Small joint effusion of the right knee. Osteoarthritis of the right knee and hips without fracture as detailed above.