SLE and back injury with compression fractures: back pain and numbness in right foot. There is concavity of the superior endplate of the T6 vertebral body, with up to 25% loss of height centrally, but no evidence of bone marrow edema or retropulsion. There is a compression fracture of the T11 vertebral body with up to nearly 50% loss of height and a T2 hyperintense fracture cleft, as well as 5 mm of retropulsion of bone from the posterior superior endplate, without spinal cord compression. There is anterior wedge deformity of the L3 vertebral body with approximately up to 10% loss of height and underlying bone marrow T2 hyperintensity, but no retropulsion. There is associated mild kyphotic deformity at the T11 level, but the alignment of the rest of the vertebral column is essentially intact. There is mild degenerative spondylosis in portions of the cervical, thoracic, and lumbar spine, but no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. There are a few scattered subcentimeter vertebral body high T1 and T2 signal foci, some of which may represent hemangiomas. There is a nonspecific subcentimeter high T2 and low T1 signal splenic lesion.
1. Concavity of the superior endplate of the T6 vertebral body, with up to 25% loss of height centrally, but no evidence of bone marrow edema or retropulsion.2. Compression fracture of the T11 vertebral body with up to nearly 50% loss of height and a T2 hyperintense fracture cleft, as well as 5 mm of retropulsion of bone from the posterior superior endplate, without spinal cord compression. 3. Anterior wedge deformity of the L3 vertebral body with approximately up to 10% loss of height and underlying bone marrow T2 hyperintensity, but no retropulsion.4. Mild degenerative spondylosis in portions of the cervical, thoracic, and lumbar spine, but no associated significant spinal canal stenosis. 5. Nonspecific subcentimeter high T2 and low T1 signal splenic lesion. An abdomen ultrasound may be useful for further evaluation.