 Counting from above, there is a normal complement of vertebrae. Using this counting convention, the most recent kyphoplasty was likely performed at the actual T10 level rather than the reported T11 level, which is in agreement with the bone scan counting convention. T12 does appear to have hypoplastic ribs.Since the prior MRI of the thoracic spine, there has been interval mild to moderate compression deformity of T4, seen on prior CT cervical spine. Interval kyphoplasty changes are seen in T6 with similar mild vertebral body height loss. There is mild vertebral body height loss at T10 with post kyphoplasty changes. Other chronic compression deformities scattered in the mid to lower thoracic spine appear similar. There is no evidence of STIR abnormality to suggest recent fracture or progression of compression. There are scattered levels of trace retropulsion of compressed fracture fragments, most conspicuous at the T12 level where there is mild effacement of ventral CSF space, although unchanged.The thoracic spine is in normal alignment, with exaggerated normal thoracic kyphosis. The spinal cord is of normal caliber and signal.Minimal scattered spondylotic changes. There is persistent moderate-severe narrowing of the right T8-T9 foramen, as well as moderate narrowing of the T9-T10 foramina bilaterally.There is partial visualization of a rounded T2 hyperintense structure off the upper pole of the left kidneyLUMBAR SPINE
1. Please note that counting convention differs from that of the most recent kyphoplasty. Normal complement of vertebrae with hypoplastic 12th ribs. Using this counting convention, the most recent kyphoplasty is at the T10 level consistent with prior bone scan.2. Other than interval compression deformity and subsequent kyphoplasty changes at the T10 level, and now mild chronic compression deformity of the superior endplate of T4 as seen on prior CT cervical spine, no significant interval change in appearance of thoracic and lumbar multilevel compression deformities with superimposed postprocedural changes. Stable superior endplate of T12 retropulsion of fracture fragments without canal compromise.3. Several levels of foraminal narrowing, including moderate-severe right sided stenosis at T8-T9, although unchanged.