Findings:
The craniocervical junction is normal.
Subacute fracture of the 6th thoracic vertebra with fracture line through the vertebral body on the T1 and mild bone marrow oedema on STIR. Minimal retropulsion is seen at the inferior endplate without any significant stenosis.
Older grade 4 compression fracture of the T8, T10 and T12 vertebrae with retropulsion at T8 and T12 and minimal oedema along the superior endplate of T12. No significant central stenosis or cord compression.
No evidence of any acute fracture in the cervical or lumbar spine. Vertebral haemangioma is noted in the L2 vertebra.
Loss of physiological cervical lordosis is seen.
Modic-1/2 endplate changes are noted at C3/4 – C6/7 with significant bone marrow oedema along the endplates at C3/4. Additional bone marrow oedema involving the facet joints at C3/4 on the left side (SE 11, IM 13), in keeping with facet joint arthropathy with active synovial inflammation.
Synostosis of the right-sided facet joints at C4/5 is seen.
High-grade disc degeneration is seen in the cervical spine with marked decreased height of the intervertebral discs.
Multilevel disc bulging and bilateral osteoarthritis of the facet joints and uncovertebral joints is seen at C3/4 – C6/7 with moderate central canal stenosis and high-grade bilateral neural exit foraminal stenosis at these levels. No obvious cord compression or myelopathy.
Perineural cyst is seen in the right-sided neural foramen at T11/12.
Multilevel disc degeneration, bulging and osteoarthritis of the facet joints is seen in the lumbar spine without any height. Central canal or neural exit foraminal stenosis. Posteriorly, the spinous processes at Th12/L1 – L3/4 are separated by high T2 signal and mild oedema, consistent with Baastrup syndrome.
Conclusion:
No acute fracture.
Subacute fracture of the T6 with mild retropulsion. Also, old grade 4 compression fractures of T8, T10 and T12 vertebrae, as described above without any cord compression or myelopathy.
High-grade degeneration of the cervical spine with moderate central canal stenosis and high-grade bilateral neural exit foraminal stenosis at C3/4 – C6/7.
Significant Modic-1 endplate changes as well as facet joint arthropathy with active synovial inflammation at C3/4 on the left.
Baastrup syndrome in the lumbar spine.