CHEST X-RAY, PA AND LATERAL VIEWS - 36

CHEST X-RAY, PA AND LATERAL VIEWS

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease.  The heart and mediastinal structures are normal.

Hemidiaphragms are normal with clear costophrenic angles.

A lateral chest radiograph shows a clear retrocardiac space.  The posterior sulcus is clear.

IMPRESSION:         No active or acute cardiopulmonary process is identified.

Thank you for the referral.

XXXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 35

CHEST X-RAY, PA AND LATERAL VIEWS

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease.  Some mild parenchymal pulmonary scarring is present.

Heart size and contour is normal.  The perihilar and upper lobe vascularity is normal.

Hemidiaphragms are normal with clear costophrenic angles.  A lateral chest radiograph shows a clear retrocardiac space and the posterior sulcus is clear.

IMPRESSION:         No active or acute cardiopulmonary process is identified.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE RIGHT FOOT

X-RAY EVALUATION OF THE RIGHT FOOT

FINDINGS:               Views of the right foot fails to reveal any evidence of acute bony injury.  No congenital osseous abnormalities are seen.  Soft tissues appear to be normal.

IMPRESSION:          No acute osseous or soft tissue abnormality is seen involving the right foot.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE PARANASAL SINUSES

X-RAY EVALUATION OF THE PARANASAL SINUSES

FINDINGS:               Views of the paranasal sinuses shows normal aeration with no evidence of mucoperiosteal thickening, opacification, or air-fluid levels.  Osseous structures would appear to be intact with no destructive lesions seen.

Should the patient’s symptoms persist, then a facial CT dealing specifically with paranasal sinuses would be indicated.

IMPRESSION:         No evidence of sinus disease.

Thank you for the referral.

XXXXXXXXXX, M.D.

X-RAY EVALUATION OF THE CERVICAL SPINE

X-RAY EVALUATION OF THE CERVICAL SPINE

FINDINGS:               I have no current clinical history regarding the patient’s previous surgery and the etiology for this surgery.

There is a posterior fusion with wires surrounding the posterior elements of C5-C6 and C6-C7.

Some disc space narrowing is seen at multiple lower cervical levels, but vertebral body heights appear normally maintained.  Oblique films fail to demonstrate any significant encroachment upon the neuroforamina by posteriorly presenting osteophytes.  The articulation of C1 on C2 is normal.

IMPRESSION:

1.                   Disc space narrowing at multiple lower cervical levels.

2.                   Previous posterior fusion.

3.                   No acute osseous process identified.

Thank you for the referral.

XXXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 34

CHEST X-RAY, PA AND LATERAL VIEWS

INDICATION FOR STUDY:           Cough.

FINDINGS:              An examination of the chest shows the lung to be well expanded and free of active or acute disease.  Heart size and contour is normal.  Perihilar and upper lobe vascularity is normal.

Hemidiaphragms are normal with clear costophrenic angles.

A lateral chest radiograph shows a clear retrocardiac space.  The posterior sulcus is clear.

IMPRESSION:          No active or acute cardiopulmonary process is identified.

Thank you for the referral.

XXXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 33

CHEST X-RAY, PA AND LATERAL VIEWS

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease.  The heart and mediastinal structures are normal.

Hemidiaphragms are normal with clear costophrenic angles.

A lateral chest radiograph shows a clear retrocardiac space and the posterior sulcus is clear.

IMPRESSION:          No active or acute cardiopulmonary process.

Thank you for the referral.

XXXXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 32

CHEST X-RAY, PA AND LATERAL VIEWS

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease.  The heart and mediastinal structures are normal.

Hemidiaphragms are normal with clear costophrenic angles.  A lateral chest radiograph shows a clear retrocardiac space and the posterior sulcus is clear.

IMPRESSION:          No active or acute cardiopulmonary process.

Thank you for the referral.

XXXXXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 31

CHEST X-RAY, PA AND LATERAL VIEWS

FINDINGS:               An examination of the chest shows a small oval shaped density in the right apex, which appears to be a calcification and most likely represents prior granulomatous disease.

The remaining lung fields are well expanded and free of active or acute disease.  A linear area of parenchymal pulmonary scarring could be seen extending from the right hilar area into the mid portion of the right lung.

Heart size and contour is normal.

The hemidiaphragms are normal with clear costophrenic angles.

A lateral chest radiograph shows a clear retrocardiac space and the posterior sulcus is clear.

IMPRESSION:

1.                   No active or acute cardiopulmonary process.

2.                   Probable prior granulomatous disease with a calcified primary complex in the right apex.

Thank you for the referral.

XXXXXXX, M.D.

X-RAY EVALUATION OF THE LEFT HAND

X-RAY EVALUATION OF THE LEFT HAND

FINDINGS:               Views of the left hand likewise fails to demonstrate any evidence of acute osseous injury and no evidence of prior trauma.  Soft tissues are normal with no swelling.

I have no current clinical history and indicating the point of trauma or point of pain.

IMPRESSION:          Normal left hand.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE LEFT WRIST

X-RAY EVALUATION OF THE LEFT WRIST

INDICATION FOR STUDY:           Pain.

FINDINGS:               Views of the left wrist fails to reveal any evidence of acute bony injury.  The epiphysis and epiphyseal plate of the distal radius are normally seated.  There is no evidence of prior trauma.

Carpal articulations are normal.  Soft tissues are normal with no evidence of soft tissue swelling.

IMPRESSION:          Normal left wrist.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE LUMBAR SPINE

X-RAY EVALUATION OF THE LUMBAR SPINE

INDICATION FOR STUDY:           Low back pain.

FINDINGS:               Views of the lumbar spine shows the vertebral body heights and disc spaces to be normally maintained.  Oblique films show no evidence of spondylolysis and the articulation of L5 on S1 is normal with no evidence of spondylolisthesis.

IMPRESSION:          Normal lumbar spine.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE THORACIC SPINE

X-RAY EVALUATION OF THE THORACIC SPINE

FINDINGS:               View of the thoracic spine shows the vertebral body heights and disc spaces to be normally maintained.  Posterior elements are intact.  Interpedicular distances are normal.

IMPRESSION:          Normal thoracic spine.

Thank you for the referral.

XXXXXXX, M.D.

X-RAY EVALUATION OF THE RIGHT SHOULDER, THREE VIEWS

X-RAY EVALUATION OF THE RIGHT SHOULDER, THREE VIEWS

FINDINGS:               Three views of the right shoulder were obtained with the humerus in both internal and external rotation.  The right humeral head is normally seated in the glenoid fossa.  I see no evidence of acute bony injury.  The acromioclavicular joint is normal.  The clavicle, scapula, and proximal right humeral shaft are intact.  No abnormal calcifications can be seen in or about the right shoulder joint.

IMPRESSION:         Normal right shoulder.

Thank you for the referral.

XXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 30

CHEST X-RAY, PA AND LATERAL VIEWS

INDICATION FOR STUDY:           Questioned pneumonia.

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease.  The heart and mediastinal structures are normal.

Hemidiaphragms are normal with clear costophrenic angles.  A lateral chest radiograph shows a clear retrocardiac space and the posterior sulcus is clear.

IMPRESSION:          No active or acute cardiopulmonary process.

Thank you for the referral.

XXXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 29

CHEST X-RAY, PA AND LATERAL VIEWS

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease.  The heart and mediastinal structures are normal.

Hemidiaphragms are normal with clear costophrenic angles.

A lateral chest radiograph shows a clear retrocardiac space.  The posterior sulcus is clear.

IMPRESSION:         No active or acute cardiopulmonary process is identified.

Thank you for the referral.

XXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 28

CHEST X-RAY, PA AND LATERAL VIEWS

INDICATION FOR STUDY:           Physical examination.

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease.  The heart and mediastinal structures are normal.  Hemidiaphragms are normal with clear costophrenic angles.

A lateral chest radiograph shows a clear retrocardiac space and the posterior sulcus is clear.

IMPRESSION:        No active or acute cardiopulmonary process is identified.

Thank you for the referral.

XXXXXXXXXX, M.D.

X-RAY EVALUATION OF THE RIGHT KNEE

X-RAY EVALUATION OF THE RIGHT KNEE

INDICATION FOR STUDY:           Pain.

FINDINGS:               Views of the right knee shows what appears to be narrowing of both medial and lateral joint compartments.  Spurring of the medial and femoral condyle as well as the medial and tibial plateau is also noted.  There is loss of the retropatellar space and irregularity to the posterior patellar surface to some degree.  No effusion is seen.

IMPRESSION:         Degenerative changes of the right knee as described.

Thank you for the referral.

XXXXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 27

CHEST X-RAY, PA AND LATERAL VIEWS

INDICATION FOR STUDY:           Acute bronchitis.

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease, though some chronic interstitial pulmonary scarring can be seen.  Does this patient have a smoking history?

Heart size and contour is normal.  Hemidiaphragms are normal with clear costophrenic angles.

A lateral chest radiograph shows a clear retrocardiac space and the posterior sulcus is clear.

IMPRESSION:         No active or acute cardiopulmonary process is identified.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE NASAL BONES

X-RAY EVALUATION OF THE NASAL BONES

FINDINGS:               Views of the nasal bones fails to reveal any evidence of acute bony injury.  Of further interest, the anterior inferior nasal spine is intact.

The maxillary sinuses are normally aerated with no opacification or air-fluid levels.

IMPRESSION:          No evidence of a nasal fracture.

Thank you for the referral.

XXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 26

CHEST X-RAY, PA AND LATERAL VIEWS

INDICATION FOR STUDY:           Acute bronchitis.

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease.  Interstitial markings are slightly increased, but are bilaterally symmetrical.  No infiltrate is seen.

Heart size and contour is normal.

Hemidiaphragms are normal with clear costophrenic angles.  A lateral chest radiograph shows a clear retrocardiac space and the posterior sulcus is clear.

IMPRESSION:          No active or acute cardiopulmonary process, but with slightly prominent interstitial markings.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE LEFT ANKLE

X-RAY EVALUATION OF THE LEFT ANKLE

FINDINGS:               Views of the left ankle fails to reveal any evidence of acute bony injury and no evidence of prior trauma.  The patient states that she has had continuing pain in the ankle for the past twelve years since a stroke.

Soft tissues are normal.

IMPRESSION:          No acute osseous abnormality.

Thank you for the referral.

XXXXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 25

CHEST X-RAY, PA AND LATERAL VIEWS

INDICATION FOR STUDY:           Post status trauma from motor vehicle accident.

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease.

Heart size and contour is normal.  The patient has a marked dextrorotatory scoliosis of the thoracic spine.  Obviously, this is not acute.

Hemidiaphragms are normal with clear costophrenic angles.  A lateral chest radiograph shows a clear retrocardiac space and the posterior sulcus is clear.

IMPRESSION:          No active or acute cardiopulmonary process is identified.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE RIGHT HIP

X-RAY EVALUATION OF THE RIGHT HIP

INDICATION FOR STUDY:           Right hip pain.

FINDINGS:               Views of the right hip shows the right femoral head to be normally seated in the acetabulum.  The joint space appears normally maintained.  The femoral head, femoral neck, and proximal right femoral shaft are intact.

IMPRESSION:          Normal appearing right hip.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE LUMBAR SPINE, FIVE VIEWS

X-RAY EVALUATION OF THE LUMBAR SPINE, FIVE VIEWS

INDICATION FOR STUDY:           Low back pain.

FINDINGS:               Five views of the lumbar spine shows the vertebral body heights and disc spaces to all be normally maintained.  Oblique films show no evidence of spondylolysis and the articulation of L5 on S1 is normal with no evidence of spondylolisthesis.

IMPRESSION:          Normal lumbar spine.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE RIGHT FOOT

X-RAY EVALUATION OF THE RIGHT FOOT

FINDINGS:               Similar findings of the right foot are noted as compared with the left.  There is fragmentation of the proximal epiphysis of the fifth metatarsal.  The remaining bones of the foot are normal.  Soft tissues of the right foot are normal.

IMPRESSION:          Normal right foot.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE LEFT FOOT

X-RAY EVALUATION OF THE LEFT FOOT

FINDINGS:               Views of the left foot fails to reveal any evidence of acute bony injury.  The phalanges are normal.  The first metatarsal is normal.

There is noted to be fragmentation of the epiphysis of the proximal fifth metatarsal.

The remaining bones of the foot are intact.  Soft tissues are normal.

IMPRESSION:          Normal left foot.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE RIGHT KNEE

X-RAY EVALUATION OF THE RIGHT KNEE

INDICATION FOR STUDY:           Pain and swelling.

FINDINGS:               Views of the right knee suggest some minimal narrowing of the medial joint compartment.  Also, there is some early spur formation seen involving the medial femoral condyle and the medial tibial plateau, though this is minimal as noted.  No acute osseous injury is seen and no evidence of prior trauma.  The patella is intact.  There is narrowing of the retropatellar space.  No effusion is identified.

IMPRESSION:         Very early and minimal degenerative change involving the medial joint compartment.

Thank you for the referral.

XXXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 24

CHEST X-RAY, PA AND LATERAL VIEWS

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease.  The heart and mediastinal structures are normal.

Hemidiaphragms are normal with clear costophrenic angles.

I see no evidence of a parenchymal mass lesion within the lung in spite of the patient’s smoking history.

A lateral chest radiograph shows a clear retrocardiac space.  The posterior sulcus is clear.

IMPRESSION:          No active or acute cardiopulmonary process is identified.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE THORACIC SPINE

X-RAY EVALUATION OF THE THORACIC SPINE

FINDINGS:               Views of the thoracic spine shows some loss in the vertebral body height of what appears to be T8.  There is both superior and inferior scalloping of the endplate.  I would suggest the compression is approximately 40%.

The remaining vertebral body heights and disc spaces appear normally maintained.  Interpedicular distances are normally maintained.  No osteoblastic or osteolytic disease is seen.

IMPRESSION:         Partial collapse of T8.  No other significant abnormalities are identified.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE CERVICAL SPINE, FIVE VIEWS

X-RAY EVALUATION OF THE CERVICAL SPINE, FIVE VIEWS

FINDINGS:               Five views of the cervical spine show the vertebral body heights and disc spaces to be normally maintained.  Oblique films show no encroachment upon the neuroforamina.  The retropharyngeal and retrotracheal space appears to be normal.  The articulation of C1 on C2 is normal.

IMPRESSION:          No acute osseous injury identified.

Thank you for the referral.

XXXXXXXXXX, M.D.

X-RAY EVALUATION OF THE LEFT WRIST, THREE VIEWS

X-RAY EVALUATION OF THE LEFT WRIST, THREE VIEWS

FINDINGS:               Three views of the left wrist fail to reveal any evidence of acute bony injury.  The proximal carpal row is intact.  No other osseous or soft tissue abnormalities are seen.

IMPRESSION:          Normal left wrist.

Thank you for the referral.

XXXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 23

CHEST X-RAY, PA AND LATERAL VIEWS

INDICATION FOR STUDY:           None given.

FINDINGS:                 An examination of the chest shows the lung to be well expanded and free of active or acute disease.  The heart and mediastinal structures are normal.  Hemidiaphragms appear normal with clear costophrenic angles.

A lateral chest radiograph shows a clear retrocardiac space.  The posterior sulcus is clear.

IMPRESSION:          No active or acute cardiopulmonary process identified.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE THORACIC SPINE

X-RAY EVALUATION OF THE THORACIC SPINE

FINDINGS:               Views of the thoracic spine shows the vertebral body heights and disc spaces to all be normally maintained.  All posterior elements are intact.  No osteoblastic or osteolytic disease is seen.

IMPRESSION:          Normal thoracic spine.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE LUMBAR SPINE

X-RAY EVALUATION OF THE LUMBAR SPINE

FINDINGS:               Views of the lumbar spine shows the vertebral body heights and disc spaces to be normally maintained.  Oblique films show no evidence of spondylolysis and the articulation of L5 on S1 is normal with no evidence of spondylolisthesis.

IMPRESSION:          Normal lumbar spine.

Thank you for the referral.

XXXXXXXXXX, M.D.

X-RAY EVALUATION OF THE CERVICAL SPINE

X-RAY EVALUATION OF THE CERVICAL SPINE

INDICATION FOR STUDY:           Neck pain.

FINDINGS:               Views of the cervical spine shows the vertebral body heights and disc spaces to be normally maintained.  However, there is loss of the usual cervical lordosis consistent with muscle spasm.

Oblique films show no encroachment upon the neuroforamina by posteriorly presenting osteophytes.  The articulation of C1 on C2 is normal.

IMPRESSION:          No acute osseous abnormality involving the cervical spine and with loss of the usual cervical lordosis consistent with muscle spasm.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE RIGHT HIP

X-RAY EVALUATION OF THE RIGHT HIP

FINDINGS:               Views of the right hip shows the right femoral head to be normally seated in the acetabulum.  The femoral head, femoral neck, and proximal right femoral shaft are intact.

IMPRESSION:          Normal right hip.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE PELVIS

X-RAY EVALUATION OF THE PELVIS

FINDINGS:               An AP view of the pelvis fails to reveal any evidence of acute bony injury and no evidence of prior trauma.  Sacroiliac joints are normal.  The superior and inferior pubic rami are normal.  Hip joints are symmetrical.

IMPRESSION:          Normal pelvis.

Thank you for the referral.

XXXXXXXXXX, M.D.

CHEST X-RAY, PA AND LATERAL VIEWS - 22

CHEST X-RAY, PA AND LATERAL VIEWS

FINDINGS:               An examination of the chest shows the lungs to be well expanded and free of active or acute disease.  The heart and mediastinal structures are normal.

Hemidiaphragms are normal with clear costophrenic angles.  A lateral chest radiograph shows a clear retrocardiac space and the posterior sulcus is clear.

IMPRESSION:          No active or acute cardiopulmonary process.

Thank you for the referral.

XXXXXXXXXX, M.D.

X-RAY EVALUATION OF THE RIGHT KNEE

X-RAY EVALUATION OF THE RIGHT KNEE

INDICATION FOR STUDY:           Pain.

FINDINGS:               Views of the right knee shows some narrowing of the medial joint compartment with spurring of the medial femoral condyle and minimal spurring of the medial tibial plateau.  There is some spurring of the lateral tibial plateau as well.

No osteoblastic or osteolytic disease is seen.  The patella is intact.  No effusion is identified.

IMPRESSION:         Early degenerative changes of the right knee involving predominantly the medial joint compartment.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE THORACIC SPINE

X-RAY EVALUATION OF THE THORACIC SPINE

FINDINGS:               The history as presented was low back pain, but the patient’s mother and sister are on the thoracic spine.

Vertebral body heights and disc spaces are normally maintained.  Posterior elements are intact.  There may be a minimal scoliotic deformity of the lower thoracic and upper lumbar spine, though this could also be positional.

IMPRESSION:         No acute osseous abnormality identified.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE RIGHT ELBOW

X-RAY EVALUATION OF THE RIGHT ELBOW

FINDINGS:               Views of the right elbow fails to reveal any evidence of acute bony injury.  The anterior fat pad is identified, but it is not displaced.  The epiphyses about the elbow joint appear to be normally seated.  I see no evidence of an effusion.

IMPRESSION:          No osseous or soft tissue abnormality identified.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE THORACIC SPINE

X-RAY EVALUATION OF THE THORACIC SPINE

INDICATION FOR STUDY:           Back pain.

FINDINGS:               Views of the thoracic spine shows the vertebral body heights and disc spaces to be normally maintained.  Interpedicular distances are normal.  There is no evidence of osteoblastic or osteolytic disease.

IMPRESSION:          No acute osseous abnormality seen involving the thoracic spine.

Thank you for the referral.

XXXXXXXXX, M.D.