Case Notes
History
78 yo female with change in mental status and fall.Exam
Prior Study
noneDicom
Findings
Technique: | Correct Answer | Your Answer |
---|---|---|
The cervicothoracic junction and/or the thoracolumbar junction is/are not entirely included on the exam. |
Yes | NA |
The exam is over or under penetrated. |
No | NA |
The exam is limited by overlying structures, bones or soft tissues, patient positioning, support devices, or motion. |
Yes | NA |
Prevertebral and paravertebral soft tissues: | Correct Answer | Your Answer |
---|---|---|
The prevertebral or paravertebral soft tissues are abnormal. |
Yes | NA |
|
Yes | NA |
Spinal alignment: | Correct Answer | Your Answer |
---|---|---|
The vertebral bodies are abnormally aligned. |
No | NA |
The anterior and posterior vertebral body lines are abnormal or interrupted. |
No | NA |
The visualized spinous processes are malaligned or distracted on the AP and/or lateral view(s). |
No | NA |
There is exaggeration, reversal, or straightening of the normal kyphosis or there is scoliosis of the thoracic spine. |
No | NA |
Vertebral bodies, posterior elements and ribs: | Correct Answer | Your Answer |
---|---|---|
There are more or less than the expected 12 rib-bearing vertebral bodies. |
No | NA |
There are cervical ribs at the cervicothoracic junction, or hypoplastic or rudimentary ribs at the thoracolumbar junction. |
No | NA |
|
Yes | NA |
There is anterior wedging and/or compression of a vertebral body. |
Yes | NA |
There is an endplate avulsion, compression, or other fracture. |
Yes | NA |
There is displacement of a fracture fragment into the soft tissues or spinal canal. |
No | NA |
There is a lytic, sclerotic, or blastic lesion or erosion of a pedicle or other posterior element. |
No | NA |
There is evidence of a lytic, sclerotic, or blastic lesion, or disruption of the trabecular pattern of a vertebral body, end plate, or rib. |
Yes | NA |
There is focal or diffuse abnormal mineralization of the thoracic spine. |
No | NA |
Disc spaces, facet joints, and neural foramina: | Correct Answer | Your Answer |
---|---|---|
|
Yes | NA |
There is disc space narrowing with or without erosive or sclerotic changes of the end plates or subchondral bone other than from degenerative change. |
No | NA |
There is anterior, lateral, or posterior spondylolisthesis, subluxation, or rotational abnormality at a disc space. |
No | NA |
There is widening, rotational abnormality, or displacement of facets at any motion segment. |
No | NA |
There is facet joint narrowing or sclerosis other than from degenerative change. |
No | NA |
There is narrowing or encroachment of a neural foramen other than from degenerative change. |
No | NA |
There are degenerative changes present that might explain the patient’s symptoms. |
No | NA |
Additional soft tissues and bones (included neck, chest, and abdomen): | Correct Answer | Your Answer |
---|---|---|
There is abnormality of the soft tissues and bones of the included neck other than from degenerative change. |
No | NA |
There is abnormality of the soft tissues and included bones of the upper extremities, clavicles, and sternum other than from degenerative change. |
No | NA |
There is abnormality of the included lungs, mediastinum other than the previously evaluated paravertebral soft tissues, trachea and more distal airways, diaphragm, stomach, bowel, or bowel gas pattern. |
No | NA |
There is free intraperitoneal or retroperitoneal air, or other abnormal air in the included abdomen. |
No | NA |
There are vascular calcifications or other soft tissue calcifications present. |
Yes | NA |
There is a foreign body or there are post surgical changes of the bones or soft tissues of the included neck, thorax, or abdomen. |
No | NA |
There is an abnormality or complication of post surgical hardware/device. |
N/A | NA |
There are support lines or tubes in an abnormal position. |
No | NA |
Other findings: | Correct Answer | Your Answer |
---|---|---|
There are other existing conditions that might be contributing to symptoms which can or should be further evaluated non-emergently. |
No | NA |