Figure 2.

A 71-year-old woman with osteoporosis and no history of falls/injuries. Plain lumbar radiograph (left) shows L2 and L4 lower endplate depressions (dotted arrows). T1-weighted magnetic resonance imaging (right) shows L2 endplate fracture and associated lower marrow signal, suggesting acute nature of this fracture. Bone marrow signal is normal at L4 level, suggesting L4 fracture is likely old. This case was referred as radiographically ‘occult’ osteoporotic vertebral fracture in the initial reporting. [modified with permission from (3)].