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FIG 3. Images of a 27-year-old man who presented with sudden onset of pain and tenderness centered at L3 after a snow ski jump injury involving pure axial loading.
A, Sagittal T1-weighted (600/15/2) image shows diffuse marrow edema of the cephalad two thirds of vertebral body L3, centered along the superior endplate. On the T1-weighted image, this looks like a simple endplate fracture. Note the nonacute SN and the narrowed disk space at L2 (arrow).
B, Sagittal fast spin-echo T2-weighted (4000/90/2) image, obtained as part of the same examination, shows the margins of the acute SN at L3 to better advantage (straight arrow). The L2 SN is unchanged (curved arrow).
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