 Again seen is a moderate compression fracture of the T12 vertebral body with additional loss of height compared to the recent MRI but no gross change from the most recent spine radiographs. Retropulsion results in minimal flattening of the ventral thecal sac but no central canal or foraminal stenosis. Low signal material is seen within the vertebral body from kyphoplasty cement. There are new mild superior endplate deformities at T9, T10, and T11 with some increased STIR signal along the superior endplate of T11. The remainder of the vertebral body heights are well-maintained as are the intervertebral discs. Innumerable foci of abnormal increased T2 signal are seen throughout the spine and in the imaged sacrum and bilateral iliac bones which enhance on postcontrast images. There is minimal retrolisthesis of L2 on L3 which is slightly more conspicuous when compared to the MRI dated 8/8/2015. The distal spinal cord and conus are within normal limits with the conus terminating at the L1 level.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the lumbar spine.Subcentimeter left renal cysts.
1.Stable, diffuse heterogeneous enhancing marrow signal compatible with multiple myeloma.2.New mild superior endplate deformities at T9, 10, 11. The mildly increased STIR signal in the superior endplate of T11 suggests a possible subacute compression fracture.3.Chronic moderate pathologic compression fracture at T12 with post-kyphoplasty changes, slightly progressed since prior MRI, with mild retropulsion but no significant spinal canal stenosis.