 Compression deformities are as follows:1.Minimal compression deformity at T7 is noted, unchanged compared to 3/1/2014, thus is chronic.2.T10 compression has progressed when compared to 3/1/2014 (not included in the field-of-view on 5/20/2015), now moderate in extent. This includes some residual marrow edema isolated to the anterior aspects of the vertebral body, thus this is most likely subacute. There are no retropulsed fragments.3.There has been significant interval near complete collapse of T11 when compared to 5/20/2015 with approximate 7 mm retropulsion of fragments which impacts and deforms the anterior cord surface, without resulting intrinsic cord signal. CSF is maintained posteriorly, thus there is no cord compression. This osseous deformity also encroaches bilateral neural foramina at T10/11 and T11/12. Marrow edema is present, and these findings are consistent with an acute compression fracture.4.Chronic moderate compression fracture T12 is unchanged compared to 5/20/2015, thus chronic.Marrow heterogeneity identified and discussed for previous lumbar spine MRI is again present within the thoracic spine.T1/2 demonstrates a small left paramedian disc protrusion without cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates no significant disc bulge or cord encroachment. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates a tiny right paramedian disc protrusion without cord encroachment. T7/8 demonstrates a tiny right paramedian disc protrusion without cord encroachment. T8/9 demonstrates no significant disc bulge or cord encroachment. T9/10 demonstrates no significant disc bulge or cord encroachment.T10/11 and T11/12 discussed above.T12/L1 demonstrates no significant disc bulge or cord encroachment. The spinal cord is without focal atrophy, edema, or myelomalacia. There are no masses.
1.T10 compression has progressed when compared to 3/1/2014, now moderate in extent. This includes some residual marrow edema isolated to the anterior aspects of the vertebral body, thus this is most likely subacute. There are no retropulsed fragments.2.There has been significant interval near complete collapse of T11 when compared to 5/20/2015 with approximate 7 mm retropulsion of fragments which impacts and deforms the anterior cord surface, without resulting intrinsic cord signal. CSF is maintained posteriorly, thus there is no cord compression. This osseous deformity also encroaches bilateral neural foramina at T10/11 and T11/12. Marrow edema is present, and these findings are consistent with an acute compression fracture.3.Marrow heterogeneity identified and discussed for previous lumbar spine MRI is again present within the thoracic spine.