Info Images Findings Impression Reco/Acuity Case Images View Images / Launch Visage Case Notes History 66 yo female with back pain Exam L spine AP and lateral and coned down lateral view at L5-S1 Prior Study none Dicom View Reference Material
Section 1 Submit Findings CB1243 Findings Technique The thoracolumbar junction and/or the lumbosacral junction is/are not entirely included on the exam. Yes No The exam is over or under penetrated. Yes No The exam is limited by overlying structures, bones or soft tissues, patient positioning, support devices, or motion. Yes No Prevertebral and paravertebral soft tissues The prevertebral or paravertebral soft tissues are abnormal. Yes No Spinal alignment The vertebral bodies are abnormally aligned. Yes No The anterior and posterior vertebral body lines are abnormal or interrupted. Yes No The visualized spinous processes are malaligned or distracted on the AP and/or lateral view(s). Yes No There is reversal or straightening of the normal lordosis or scoliosis of the lumbar spine. Yes No Vertebral bodies, posterior elements and included sacral segments There are more or less than the expected 5 non rib-bearing vertebral bodies. Yes No There is a transitional motion segment at the lumbosacral junction (sacralization of L5 or lumbarization of S1). Yes No There is a fracture or distraction of a vertebral body, transverse or spinous process, or other posterior element. Yes No There is anterior wedging and/or compression of a vertebral body or end plate. Yes No There is an end plate avulsion or other fracture. Yes No There is displacement of a fracture fragment into the soft tissues or spinal canal. Yes No There is lucency or defect of the pars interarticularis from spondylolysis. Yes No There is an abnormality of a pedicle or lamina on the frontal or lateral view. Yes No There is a fracture, erosion, sclerosis, lytic, or blastic lesion of a pedicle or lamina. Yes No There is evidence of a lytic or sclerotic lesion, or disruption of the trabecular pattern of a vertebral body, end plate, or sacrum. Yes No There is a fracture or interruption of the arcuate lines of the sacrum. Yes No There is erosion, sclerosis, narrowing, or other abnormality of a sacral foramen or the SI joints. Yes No There is focal or diffuse abnormal mineralization of the lumbosacral spine. Yes No Disc spaces and facet joints There is distraction or focal widening of a disc space. Yes No There is disc space narrowing with or without erosive or sclerotic changes of the end plates or subchondral bone other than from degenerative change. Yes No There is anterior or posterior spondylolisthesis, subluxation, or rotational abnormality at a disc space. Yes No There is widening, rotational abnormality, or displacement of facets at any motion segment. Yes No There is facet joint narrowing or sclerosis other than from degenerative change. Yes No There is narrowing or encroachment of a neural foramen other than from degenerative change. Yes No There are degenerative changes present that might explain the patient’s symptoms. Yes No Additional soft tissues and bones (lower thorax, abdomen, and pelvis) There is abnormal bowel or bowel gas pattern. Yes No There are gallstones, vascular, renal, pelvic, or other soft tissue calcifications present. Yes No There is free intraperitoneal or retroperitoneal air or other abnormal air in the included chest, abdomen, or pelvis. Yes No The included thoracic spine, ribs, and remainder of the bony pelvis are abnormal. Yes No There is abnormality of the lower chest and/or diaphragm. Yes No There is a foreign body or there are post surgical changes of the bones or soft tissues of the included lower thorax, abdomen, and pelvis. Yes No There is an abnormality or complication of post surgical hardware/device. Yes No NA There are support lines or tubes in an abnormal position. Yes No Other findings There are other existing conditions that might be contributing to symptoms which can or should be further evaluated non-emergently. Yes No