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Compression fracture of L5 vertebral body and oblique fracture also involving the L4 spinous process, both showing associated heterogeneous marrow signal that is hyperintense on T2 and shows vivid contrast enhancement. Interspinous ligament tear/distraction and right paravertebral soft-tissue oedema. The spinal canal is capacious, with no retropulsion. The remainder of the imaged lumbar spine shows multilevel old compression/osteoporotic fractures.