X-RAY EVALUATION OF THE CERVICAL SPINE, FIVE VIEWS

X-RAY EVALUATION OF THE CERVICAL SPINE, FIVE VIEWS

CLINICAL DATA:               Neck pain.

FINDINGS:        Five views of the cervical spine are submitted.

The vertebrae are markedly demineralized.  There are degenerative changes.

The alignment of the vertebrae is normal.

There is no acute fracture or subluxation.

The odontoid process is intact and atlanto-axial joint relationship is within normal limits.

Posterior elements appear to be unremarkable.  Narrowing of the intervertebral disc space is noted at the C6-C7 level.

There is no prevertebral soft tissue swelling noted.

IMPRESSION:        Degenerative changes.

Thank you for the referral.

XXXXXXX, 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 are submitted.

There are degenerative changes.

Alignment of the vertebrae is normal.  There is no subluxation.

Posterior elements appear to be unremarkable.

Odontoid process is intact and atlanto-axial joint relationship is within normal limits.

Narrowing of the disc space is noted at C6-C7 level.

There is no prevertebral soft tissue swelling noted.

IMPRESSION:        Moderate degenerative changes associated with narrowing of the disc space at C6-C7 level.  Clinical correlation and if indicated, further evaluation is suggested.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE CERVICAL SPINE

X-RAY EVALUATION OF THE CERVICAL SPINE

CLINICAL DATA:            Pain.

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

Vertebrae are normal in height and mineralization.

The alignment of the vertebrae is normal.

Posterior elements appear to be unremarkable.

There is no evidence of fracture or subluxation.

Odontoid process is intact and atlanto-axial joint relationship is within normal limits.

Intervertebral disc spaces appear to be unremarkable.

There is no prevertebral soft tissue swelling noted.

IMPRESSION:        Unremarkable examination of the cervical spine.

Thank you for the referral.

XXXXXX, M.D.

X-RAY EVALUATION OF THE CERVICAL SPINE

X-RAY EVALUATION OF THE CERVICAL SPINE

FINDINGS:        AP and lateral views are submitted.

The vertebrae are normal in height and mineralization.  Alignment of the vertebrae is normal.

Posterior elements appear to be unremarkable.

Atlantoaxial joint relationship is within normal limits.  There is no prevertebral soft tissue swelling noted.  Intervertebral disc spaces appear to be unremarkable.

IMPRESSION:        Limited, unremarkable examination of the cervical spine.  Clinical correlation and if indicated, further evaluation is suggested.

Thank you for the referral.

XXXXXXX, M.D.

X-RAY EVALUATION OF THE CERVICAL SPINE

X-RAY EVALUATION OF THE CERVICAL SPINE

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

Vertebrae are normal in height and mineralization.

The alignment of the vertebrae is normal.

Posterior elements appear to be unremarkable.

There is no evidence of fracture or subluxation.

Odontoid process is intact and atlanto-axial joint relationship is within normal limits.

Intervertebral disc spaces appear to be unremarkable.

There is no prevertebral soft tissue swelling noted.

IMPRESSION:        Unremarkable examination of the cervical spine.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE CERVICAL SPINE

X-RAY EVALUATION OF THE CERVICAL SPINE

FINDINGS:              AP, lateral, and oblique views of the cervical spine are submitted for evaluation.

There is marked hyperostosis involving the mid and lower cervical vertebrae with preservation of the intervertebral disc spaces.  The overall picture is suggestive of DISH, Forestier's disease.

Posterior elements appear to be unremarkable.

There is no acute fracture or subluxation.  There is no prevertebral soft tissue swelling.  Odontoid process is intact and atlantoaxial joint relationship is within normal limits.

IMPRESSION:        The overall picture is suggestive of DISH, Forestier's disease.  Clinical correlation is suggested.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE CERVICAL SPINE

X-RAY EVALUATION OF THE CERVICAL SPINE

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

There are mild hypertrophic degenerative changes with anterior spur formation involving the lower cervical spine.

Alignment of the vertebrae is normal.  There is no subluxation.

Posterior elements appear to be unremarkable.

Odontoid process is intact and atlanto-axial joint relationship is within normal limits.

There is no prevertebral soft tissue swelling noted.  There is some narrowing of the disc space at C4-C5 and C5-C6 levels.  Clinical correlation and if indicated, further evaluation is suggested.

Thank you for the referral.

XXXXXXXX, 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.

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 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 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 CERVICAL SPINE - 2

X-RAY EVALUATION OF THE CERVICAL SPINE

FINDINGS:  Views of the cervical spine shows disc space narrowing at C5-C6 and
C6-C7.  Oblique films suggest some osteophyte encroachment upon the neuroforamina at these levels and a cervical MRI is recommended for more definitive diagnosis.

The remaining vertebral body heights and disc spaces appear normally maintained.  The retropharyngeal and retrotracheal air space appears to be normal.

IMPRESSION:  Degenerative changes of the cervical spine at C5-C6 and C6-C7 as noted.  An MRI is recommended for further evaluation.

Thank you for the referral.

XXXXXXXX, M.D.

X-RAY EVALUATION OF THE CERVICAL SPINE

X-RAY EVALUATION OF THE CERVICAL SPINE

FINDINGS:  Views of the cervical spine shows loss of the usual cervical lordosis.  The vertebral body heights and disc spaces appear normally maintained and oblique films fail to demonstrate any significant encroachment upon the neuroforamina, though there may be some posterior osteophyte formation seen at C5-C6 and a cervical MRI may be of further diagnostic value in better defining this questioned defect.

Flexion and extension views show no evidence of subluxation.  The retropharyngeal and retrotracheal air space appears to be normal and soft tissues are otherwise normal.

IMPRESSION:

1.          Loss of the usual cervical lordosis consistent with muscle spasm.

2.      Questioned osteophyte encroachment upon the neuroforamina at C5-C6 and a cervical MRI is recommended for further evaluation.

Thank you for the referral.

XXXXXXXXX, M.D.

X-RAY EVALUATION OF THE CERVICAL SPINE, FIVE VIEWS

X-RAY EVALUATION OF THE CERVICAL SPINE, FIVE VIEWS

FINDINGS:                The vertebral bodies appear in relatively good alignment.  There are slight degenerative changes at the level of C5-C6 anteriorly to the vertebral bodies.  The prevertebral soft tissues show no gross abnormality.  The odontoid view is limited.  The oblique films show no gross abnormality.  There is some straightening of the normal curvature.  If there is any further concern, MRI examination or further evaluation may be considered.

Thank you for the referral.

XXXXXXXX, M.D.

X-Ray of the Cervical Spine

X-RAY EVALUATION OF THE CERVICAL SPINE

FINDINGS:  Views of the cervical spine shows loss of the usual cervical lordosis.  The vertebral body heights and disc spaces appear normally maintained and oblique films fail to demonstrate any significant encroachment upon the neuroforamina, though there may be some posterior osteophyte formation seen at C5-C6 and a cervical MRI may be of further diagnostic value in better defining this questioned defect.

Flexion and extension views show no evidence of subluxation.  The retropharyngeal and retrotracheal air space appears to be normal and soft tissues are otherwise normal.

IMPRESSION:

1.          Loss of the usual cervical lordosis consistent with muscle spasm.

2.     Questioned osteophyte encroachment upon the neuroforamina at C5-C6 and a cervical MRI is recommended for further evaluation.