L3 compression fracture on outside hospital examination. Personal history of thyroid cancer. Evaluate fracture. There is approximately 25% loss of height of the L3 vertebral body appearing similar to prior. Vertebral body also demonstrates heterogeneous increased both T1 and T2 signal. No adjacent soft tissue edema. Mild increased internal STIR signal. Overall appearance is not significantly changed since 2009. Decreased T1 signal in the T11 vertebral body as well as a round focus of decreased T1 and T2 signal in the L2 vertebral body are nonspecific, but unchanged from prior examination in 2009. No specific evidence of metastatic disease on this noncontrast examination.Remainder of the vertebral body heights are maintained. Alignment is within normal limits. Intervertebral disc heights are maintained. The conus medullaris terminates at the L1-2 level.Level by level findings are as follows:T12-L1: No disc bulge, spinal canal stenosis, or neuroforaminal narrowing.L1-L2: Trace diffuse disc bulge. No spinal canal or neural foraminal narrowing.L2-L3: Mild diffuse disc bulge. No significant spinal canal or neural foraminal narrowing.L3-L4: Moderate diffuse disc bulge. Trace spinal canal narrowing. No neural foraminal narrowing.L4-L5: Mild diffuse disc bulge. No spinal canal or neural foraminal narrowing.L5-S1: Mild disc bulge. Mild facet arthropathy. Prominence of the epidural fat. No significant spinal canal or neural foraminal stenosis.
1. No significant change in appearance of the L3 chronic compression fracture with approximately 25% loss of height compared to prior MRI from 2009.2. Mild degenerative changes as described without significant neural foraminal or spinal canal stenosis.3. No specific evidence of osseous metastatic disease on this noncontrast lumbar spine MRI. Osseous marrow signal abnormality involving the L3 vertebral body, T11, and L2 is not significantly changed since 2009.