X-RAY EVALUATION OF THE LUMBAR SPINE

X-RAY EVALUATION OF THE LUMBAR SPINE

FINDINGS:              AP, lateral, and oblique views of the lumbar spine are submitted.

There are moderate hypertrophic degenerative changes.

Alignment of the vertebrae is normal.  There is no spondylolysis or spondylolisthesis.

Posterior elements appear to be unremarkable.

Diffuse narrowing of the disc spaces at multiple disc levels.

IMPRESSION:        Moderate hypertrophic degenerative changes with diffuse narrowing of disc spaces at multiple disc levels.  Clinical correlation and if indicated, further evaluation is suggested.

Thank you for the referral.

XXXXXXX, M.D.

X-RAY EVALUATION OF THE LUMBAR SPINE

X-RAY EVALUATION OF THE LUMBAR SPINE

FINDINGS:             AP, lateral, and oblique views are submitted.

There are moderate degenerative changes.

Vertebral bodies are intact.  There is no fracture.  Alignment of the vertebrae is normal.

Posterior elements appear to be unremarkable.

There is no spondylolysis or spondylolisthesis.

Calcification of the abdominal aorta is seen.

Narrowing of the disc space is seen at the L5-S1 disc level.

IMPRESSION:        Moderate degenerative changes associated with narrowing of the disc space at L5-S1 level.  Clinical correlation and if indicated, positive evaluation is suggested.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE LUMBAR SPINE

X-RAY EVALUATION OF THE LUMBAR SPINE

FINDINGS:             AP, lateral, and oblique views of the lumbar spine are submitted.

There are degenerative changes.

Alignment of the vertebrae is normal.  There is no spondylolysis or spondylolisthesis.

Posterior elements appear to be unremarkable.

Narrowing of the disc space is seen at the L5-S1 disc level.

IMPRESSION:        Moderate degenerative changes associated with narrowing of the disc space at the L5-S1 disc level.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE LUMBAR SPINE

X-RAY EVALUATION OF THE LUMBAR SPINE

FINDINGS:             There are degenerative changes.  Vertebrae are demineralized.  Calcification of abdominal aorta is seen.

There is no acute fracture.

There is grade I spondylolisthesis of L5 over S1 vertebra.  There is no spondylolysis.

There is diffuse narrowing of the disc spaces at multiple disc levels.

IMPRESSION:        Degenerative changes.  Grade I spondylolisthesis of L5 over S1 vertebra.

Thank you for the referral.

XXXXXXX, M.D.

X-RAY EVALUATION OF THE LUMBAR SPINE

X-RAY EVALUATION OF THE LUMBAR SPINE

FINDINGS:             AP, lateral, and oblique views of the lumbar spine are submitted.

The vertebral bodies are normal in height and mineralization.

Alignment of the vertebrae is normal.  There is no spondylolysis or spondylolisthesis.

Posterior elements appear to be unremarkable.

Intervertebral disc spaces appear to be unremarkable.

IMPRESSION:        Unremarkable examination of lumbar spine.

Thank you for the referral.

XXXXXXX, 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 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 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 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 otherwise normal with no evidence of spondylolisthesis.

IMPRESSION:          Normal lumbar spine.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE THORACIC AND LUMBAR SPINE SCOLIOSIS SERIES

X-RAY EVALUATION OF THE THORACIC AND LUMBAR SPINE SCOLIOSIS SERIES

FINDINGS:              Views of the thoracic spine show a minimal levoscoliosis of the lower thoracic spine.  A dextrorotatory scoliosis of the lower lumbar spine is noted.

Osseous elements appear to be intact with no congenital osseous abnormalities identified.

IMPRESSION:         Scoliotic deformity as noted.

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 to be normally maintained.  There may be minimal disc space narrowing at L4-L5 and there is slight spondylolisthesis of L4 on L5.

Oblique films fail to demonstrate any evidence of spondylolysis, which I would anticipate at L4.

The articulation of L5 on S1 is normal with no evidence of spondylolisthesis.

IMPRESSION:          Questioned minimal narrowing of the L4-L5 disc space with minimal anterior displacement of the L4 upon L5.

Thank you for the referral.

XXXXXXXX, 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.  The patient demonstrates a very mild dextrorotatory scoliosis of the lumbar spine.

I see no evidence of spondylolysis and the articulation of L5 on S1 is normal with no evidence of spondylolisthesis.

IMPRESSION:          No acute osseous abnormality seen involving the lumbar 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 disc space narrowing at L4-L5.  There is also disc space narrowing at L5-S1, though this is a highly variable finding.

Oblique films fail to demonstrate any evidence of spondylolysis and the articulation of L5 on S1 is otherwise normal with no evidence of spondylolisthesis.

In view of almost complete loss of the L4-L5 disc space, a lumbar MRI may be of further diagnostic value.

IMPRESSION:         Nearly complete loss of the L4-L5 disc space.

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

FINDINGS:             There are calcified atherosclerotic changes.  There is degenerative disc disease and disc space loss at L3-L4, L4-L5, and L5-S1.  There is osteopenia of the bones.  There is no significant fracture.  There is osteopenia and degenerative changes of the facet joints.  The possibility of slight misalignment at L4-L5 of 4-5 mm with anterolisthesis of L4 secondary to degenerative changes may be present.  There is no other significant bony abnormality, but given the patient’s evaluation if there is any further concern, MRI examination may be considered if clinically indicated.

IMPRESSION:        Significant degenerative changes, degenerative disc disease, and disc space loss as discussed above especially from L3 through S1.  Would recommend clinical correlation or possibly further evaluation with MRI as necessary.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE LUMBAR SPINE - 2

X-RAY EVALUATION OF THE LUMBAR SPINE

FINDINGS:             There are moderate degenerative changes.  Alignment of the vertebrae is normal.  There is no spondylosis or spondylolisthesis.

Posterior elements are unremarkable.

Calcification of the abdominal aorta is seen.  Multiple surgical clips are seen in the pelvis.

There is diffuse narrowing of the disc spaces at multiple disc levels.

IMPRESSION:        Moderate degenerative changes with diffuse narrowing of the disc spaces.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE LUMBAR SPINE, FOUR VIEWS

X-RAY EVALUATION OF THE LUMBAR SPINE, FOUR VIEWS

FINDINGS:             There is slight offset of the L4-L5 vertebral body with anterolisthesis of L4.  There is degenerative spurring.  There is no significant disc space loss, but the L5-S1 level is not optimally seen.  There is no fracture to the vertebral bodies.  There are degenerative changes of the facet joints.  If there is any further concern, MRI examination or further evaluation may be considered.

IMPRESSION:        Slight offset of the vertebral bodies at L4-L5 with spondylolisthesis and anterolisthesis of L4.  Would recommend clinical correlation or further evaluation as necessary.

Thank you for the referral.

XXXXXXXXX, M.D.

Lumbar Spine X-ray, AP and Lateral Views

X-RAY EVALUATION OF THE LUMBAR SPINE, AP AND LATERAL VIEWS

INDICATION FOR STUDY:         Lumbar fusion.  Follow-up.  Prior examination from November 22, 2010.

FINDINGS:               There is continued evidence of postsurgical changes with transfixing plate and screws from L2 through S1.  There are prior laminectomy changes.  The metallic hardware appears in good position and without gross abnormality.  There is no significant new area of acute abnormality.  There is continued evidence of slight chronic changes and osteopenia of the bones.  If there is any further concern, would recommend further evaluation as needed.