Patient presents with complaints of low back pain, potentially an L2 compression fracture.  Onset of pain was [Date of onset], described as [Type of pain: e.g., sharp, dull, aching, radiating], and located in the mid-lower back.  Pain is aggravated by [Aggravating factors: e.g., movement, bending, lifting, coughing] and alleviated by [Alleviating factors: e.g., rest, ice, medication].  Patient denies bowel or bladder incontinence.  Mechanism of injury reported as [Mechanism of injury: e.g., fall, trauma, lifting heavy object, spontaneous onset].  Medical history significant for [Relevant medical history: e.g., osteoporosis, osteopenia, previous fractures, long-term steroid use].  Physical examination reveals [Physical exam findings: e.g., tenderness to palpation over L2 vertebra, limited range of motion in the lumbar spine, paraspinal muscle spasm].  Neurological examination is [Neurological exam findings: e.g., intact, with diminished reflexes in [specify], sensory loss in [specify]].  Radiographic imaging, including [Imaging modality: e.g., lumbar spine X-ray, CT scan, MRI], demonstrates a fracture of the L2 vertebral body, classified as [Fracture classification: e.g., compression fracture, burst fracture, chance fracture], with [Description of fracture: e.g., anterior wedging, loss of vertebral height, retropulsed fragments].  Assessment: L2 fracture.  Differential diagnoses include lumbar strain, herniated disc, spinal stenosis.  Plan:  Pain management with [Medications prescribed: e.g., analgesics, NSAIDs, muscle relaxants].  Referral to [Referral to specialist: e.g., orthopedics, neurosurgery, pain management] for further evaluation and management.  Patient education provided regarding activity modification, back bracing considerations, and potential complications of L2 fractures.  Follow-up scheduled in [Duration] to reassess pain, neurological status, and treatment efficacy.  ICD-10 code: [ICD-10 code], CPT codes: [CPT codes for evaluation and management, imaging, and procedures].