case_images: PMC11528230_01
case_images: Key images from the MRI of the thoracic spine, with focus placed on the pathological fractures of T6 and T7 (shaded arrows) and degenerative disc disease at the same spinal level causing mild central canal stenosis (nonshaded arrows).
case_images: gr1.jpg
case_images: PMC11528230_01_gr1.jpg
case_images: fig0001
case_images: However, MRI of the thoracic spine revealed superior endplate compression fractures involving T6, T7, and T10 vertebrae with edema visualized at all 3 levels concerning for subacute fractures, as well as degenerative disc with mild spinal canal stenosis at T6-T7 (Fig. 1).
case_images: Key images from the MRI of the lumbar spine, with focus placed on the anterior disc protrusion at L4-L5 and the posterior disc protrusion at L2-L3 (nonshaded arrows), as well as the chronic end-plate fracture at L3 (shaded arrow).
case_images: gr2.jpg
case_images: PMC11528230_01_gr2.jpg
case_images: fig0002
case_images: Additionally, MRI of the lumbar spine revealed a chronic-appearing superior endplate fracture of L3 with mild vertebral body height loss, mild spinal canal stenosis at L2-L3, and small-to-moderate broad-based disc protrusion at L4-L5 causing mild mass effect on the anterior thecal sac (Fig. 2).
case_images: Key image from bilateral hip and pelvis X-rays with mild sclerosis of the femoral heads originally concerning for early-stage avascular necrosis (nonshaded arrows).
case_images: gr3.jpg
case_images: PMC11528230_01_gr3.jpg
case_images: fig0003
case_images: Furthermore, bilateral hip and pelvis X-rays were obtained, which were concerning for concurrent early-stage avascular necrosis of the bilateral femoral heads (Fig. 3).
case_images: CT of the bony pelvis without contrast notable for mild, increased sclerosis concerning for bilateral, early-stage avascular necrosis of the femoral heads (nonshaded arrows).
case_images: gr4.jpg
case_images: PMC11528230_01_gr4.jpg
case_images: fig0004
case_images: These findings were later confirmed with dedicated computed tomography (CT) imaging of the bony pelvis (Fig. 4).