MRI EXAMINATION OF THE LUMBAR SPINE WITHOUT CONTRAST
INDICATION FOR
STUDY: Back pain. T12 compression fracture.
FINDINGS: Sagittal T1 and T2 and axial
T1 and T2 weighted images were obtained on the 1.5 Tesla GE MRI without
contrast. There is desiccation of the
disc and slight disc space loss at L4-L5.
There is minimal offset of a few millimeters at this level secondary to
degenerative changes. The conus and
nerve roots within the thecal sac show no gross abnormality. There is significant almost complete collapse
of the T12 vertebral body and would recommend reference to the MRI examination
of the thoracic spine. There is
significant indentation on the thecal sac at the T11-T12 level secondary to the
compression fracture with slight retropulsed bony fragment on the superior
aspect causing mild-to-slightly-moderate indentation on the anterior thecal
sac. There is no significant
neuroforaminal narrowing. This is seen
on image 9 and 10 of series 7 and on image 7 of series 110. There is no significant central canal
stenosis or indentation on the anterior thecal sac at the T12-L1 level and the
disc space at this level and disc appear without other gross abnormality.
At the L1-L2
level, there is slight indentation on the anterior thecal sac from mild disc
bulge, but no significant central canal stenosis or neuroforaminal
narrowing. There are slight degenerative
changes of the facet joints.
At the L2-L3
level, there is no significant disc herniation, central canal stenosis, or
neuroforaminal narrowing and there are slight degenerative changes of the facet
joints and this is also true at the L3-L4 level.
At the L4-L5
level, there are degenerative changes of the facet joints and indentation on
the anterior thecal sac, but no significant central canal stenosis or
neuroforaminal narrowing.
At the L5-S1
level, there is no significant disc herniation, central canal stenosis, or
neuroforaminal narrowing.
IMPRESSION: Significant compression fracture at
the T12 with almost complete collapse of the vertebral body.
Thank you for the referral.
XXXXXXXX, M.D.
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