X-RAY EVALUATION OF THE BILATERAL HANDS, THREE VIEWS EACH

X-RAY EVALUATION OF THE BILATERAL HANDS, THREE VIEWS EACH

FINDINGS:        Three views of each hand were obtained.

There are mild degenerative changes.

There is no soft tissue swelling or calcification.

There is no fracture or dislocation.  No definite acute bony abnormality is noted.

IMPRESSION:        Mild degenerative changes.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE LEFT HAND

X-RAY EVALUATION OF THE LEFT HAND

FINDINGS:             The visualized bony structures are markedly demineralized.  There are moderate-to-severe osteoarthritic changes.

There is no acute fracture or dislocation.

There is no soft tissue swelling or calcification.

IMPRESSION:        Moderate-to-severe osteoarthritic changes.

Thank you for the referral.

XXXXXX, M.D.

X-RAY EVALUATION OF THE RIGHT HAND

X-RAY EVALUATION OF THE RIGHT HAND

FINDINGS:             There are degenerative changes involving the distal IP joints and intercarpal joints.  No definite acute fracture or dislocation is seen.  There is no soft tissue swelling or calcification.

IMPRESSION:        Degenerative changes.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE LEFT HAND

X-RAY EVALUATION OF THE LEFT HAND

FINDINGS:             AP, lateral, and oblique views are submitted.  Degenerative changes are noted.  No definite acute fracture or dislocation is seen.  There is no acute abnormality.

There is no soft tissue swelling or calcification.

IMPRESSION:        Mild-to-moderate degenerative changes.

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 HAND, THREE VIEWS

X-RAY EVALUATION OF THE LEFT HAND, THREE VIEWS

FINDINGS:               Three views of the left hand fail to reveal any evidence of acute bony injury.  No other osseous or soft tissue abnormalities are seen.

IMPRESSION:         No acute osseous abnormality is seen involving the left hand.

Thank you for the referral.

XXXXXXXXXX, M.D.

X-RAY EVALUATION OF THE LEFT HAND

X-RAY EVALUATION OF THE LEFT HAND

FINDINGS:               Views of the left hand shows similar findings as described on the right with some minimal changes of degenerative joint disease involving distal interphalangeal joints.  The remaining phalangeal articulations as well as those of the metacarpals and phalanges and metacarpals and carpals appear to be normal.  The distal radius and ulna are normal.

IMPRESSION:         Minimal degenerative change as described.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE RIGHT HAND

X-RAY EVALUATION OF THE RIGHT HAND

FINDINGS:               Views of the right hand fails to reveal any evidence of acute bony injury.  Some minor degenerative change is seen involving the distal interphalangeal joints.  Carpometacarpal articulations as well as metacarpal articulations are normal.

IMPRESSION:         Minimal degenerative change involving the distal interphalangeal joints.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE THIRD DIGIT OF THE LEFT HAND

X-RAY EVALUATION OF THE THIRD DIGIT OF THE LEFT HAND

FINDINGS:             There are changes consistent with fracture of the proximal portion of the distal phalanx of the third digit of the left hand, which extends to the articular region.  This is seen best on the lateral image.  There are changes suggestive of soft tissue swelling in this area.  The growth plates are identified.  A preliminary report was faxed at the time of the examination.  The remainder of the third digit showed no gross abnormality.

IMPRESSION:        Fracture of the proximal portion of the distal phalanx along the dorsal aspect of the finger extending to the region of the growth plate it appears.  Would recommend clinical correlation or further evaluation as needed.  A preliminary report was faxed at the time of the evaluation.

Thank you for the referral.

XXXXXXXX, M.D.