Of course, no interpretations from the peanut gallery. But the CAT scan tells me why I've been feeling so much more pain- I have a retrolisthesis at L4/L5 AND facet hypertrophy at L5/S1 now. A lot of this stuff is new, although the actual fracture hasn't moved much, the parts below it are failing fast. (I OCRed this from a fax, if you find odd typos).
There is a severe burst compression fracture of the L2 vertebral body. No other compression fracture is noted.
The T12-LI disc space is mildly decreased in height. The neural foramina are widely patent. There is no spinal stenosis.
At the L1I-L2 level, there is narrowing of the disc space height. There is posterior encroachment on the spinal canal by the posterosuperior aspect of L2. It encroaches by 7.4 mm. It causes a moderate spinal stenosis. The residual AP diameter of the spinal canal is 9.7 mm. The neural foramina are widely patent.
At the L2•L3 level, there is decreased height of the disc space, There is mild spinal stenosis at this level caused by the posteroinferior aspect of L2. The L2-L3 facet joints are partially subluxed. The neural foramina are widely patent.
The L3-L4 disc space appears within normal limits. The neural foramina are widely patent. There is no significant spinal stenosis. There is degenerative facet hypertrophy, greater on the right side than the left.
At the L4-L5 level, there is 2.0-mm retrolisthesis. There is a diffuse 5.0 mm disc bulge. This has
moderate mass effect on the thecal sac. The neural foramina are widely patent.
At the L5-S1Ievel, there is narrowing of the disc space height. There is vacuum disc phenomenon.
There is a 3.0 mm disc bulge, which has mild mass effect on the thecal sac. There is mild encroachment on the right neural foramen due to facet hypertrophy. The left neural foramen appears widely patent.
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l. SEVERE BURST COMPRESSION FRACTURE OF THE L2 VERTEBRAL BODY.
POSTEROSUPERIOR ASPECT OF L2 CAUSES MODERATE SPINAL STENOSIS WITH THE
RESIDUAL AP DIAMETER OF THE SPINAL CANAL MEASURING 9.7 MM.
2. MILD SPINAL STENOSIS, L2•L3 LEVEL.
3. 2.0-MM RETROLISTHESIS AND 5.0 MM DISC BULGE, L4-L5 LEVEL WITH MODERATE
MASS EFFECT ON THE THECAL SAC.
4. MILD 3.0 MM DISC BULGE, L5-S1 LEVEL WITH MILD MASS EFFECT ON THE THECAL