Presentation
Mechanical fall at home from standing height onto left hand side. Query fractures?
Patient Data
There is wedge compression fracture of the L1 vertebrae which appears acute.
Loss of height is less than 50% with no posterior bulging into the spinal canal.
Chronic L2 osteoporotic fracture.
Osteolytic changes of the L4 vertebral body likely due to hemangioma.
Degenerative changes of the multiple vertebral bodies and disc spaces.
Acute compression fracture L1, with reduction in posterior vertebral body height.
Old compression fractures at L2 and T11.
Multilevel degenerative disc disease, most severe at L5-S1.
Calcified abdominal aorta, which is slightly ectatic.
L4 vertebral hemangioma.
Case Discussion
Vertically oriented thickened trabeculae are typical signs of vertebral hemangioma which are readily visualized on plain film imaging and CT.
These signs are sometimes referred to as jail bar or corduroy signs.
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