Unspecified fracture of second lumbar vertebra, sequela [S32.029S], Reason for Study: ^Reason: history of L2 pathologic fracture History: history of L2 pathologic fracture There is complete loss of normal fatty marrow of L2 vertebral body with compression fracture of about 30% of height loss. There is central to left retropulsion of fractured fragment with soft tissue mass results thecal sac indentation. Enhancing nature of the soft tissue mass indicate metastatic lesion. Bilateral neural foramina appear to be preserved.There are additional vertebral body compression fractures at L1 (about 25%) and L5 (about 10%) especially superior endplate area with bone marrow edema. Though those fracture areas show some enhancement of vertebral bodies, these lesions are not associated with soft tissue masses, thus unlikely to be metastatic lesion. There is normal thoracic kyphosis. The thoracic spine alignment is anatomic. The bone marrow and end plates of thoracic spine demonstrate a normal MR appearance. The signal of the visualized cord is normal. There is no evidence of spinal canal/neural foraminal narrowing, cord compression, or myelopathy. The conus medullaris terminates at the L1 level.
1. Compression fracture with soft tissue mass on the L2 vertebral body with central to left retropulsion as described above.2. Additional compression fractures at the level of L1 and L5 without evidence of associated soft tissue mass indicating possible non-malignant compression fractures.3. Spinal cord signal intensity appears to be normal.