One of the things to check for is exposure to metal in the eyes. This patient works in construction and could not rule it out. How can we check for this?
Orbital x-ray will show any metal fragments and should be performed prior to MRI in these patients. There was no metal in this case.
Acute fracture of L2 vertebral body with "retropulsion" causing narrowing of the spinal canal. This is impinging the spinal cord at the level of conus/start of the cauda equina. No change in cord signal.
Small corner fracture of L3.
Note: STIR acts to "suppress" fat allowing better visualisation of other soft tissues and CSF space. The brightness in L2 is oedema in an acute fracture.