72-year-old with back pain Lumbar spine: The bones are demineralized. Slight depression of the superior endplate of the L1 vertebral body may represent a compression fracture although we cannot determine whether this is acute or chronic. The vertebral body height was normal on MRI from 2008. Moderate to severe degenerative disk disease affects L5/S1. There is minimal L3 anterolisthesis. Mild to moderate multilevel facet joint osteoarthritis particularly affects the lower lumbar spine. Clips are noted in the right upper quadrant, presumably from prior cholecystectomy.Hip: The bones are demineralized. Mild to moderate osteoarthritis affects the hip.Pelvis: Mild to moderate osteoarthritis affects the right hip. A left hip hemiarthroplasty is situated in near-anatomic alignment although the distal prosthesis is not visualized. Mature heterotopic ossification is present about the hip. Apparent deformity of the left obturator ring likely is due to rotational artifact.
1. Slight loss of height of the L1 vertebral body suggesting compression fracture, although we cannot determine whether this is acute or chronic. 2. Degenerative arthritic and postoperative changes as detailed above.