Info Images Findings Impression Reco/Acuity Case Images View Images / Launch Visage Case Notes History 33 yo female with back pain and fever. Exam frontal and lateral views of the thoracic spine Prior Study none Dicom View Reference Material
Section 1 Submit Findings CC2013 Findings Technique: The cervicothoracic junction and/or the thoracolumbar 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 The right or left paravertebral line is widened. 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 exaggeration, reversal, or straightening of the normal kyphosis or there is scoliosis of the thoracic spine. Yes No Vertebral bodies, posterior elements and ribs: There are more or less than the expected 12 rib-bearing vertebral bodies. Yes No There are cervical ribs at the cervicothoracic junction, or hypoplastic or rudimentary ribs at the thoracolumbar junction. Yes No There is a fracture or distraction of a vertebral body, rib, transverse or spinous process, pedicle, or other posterior element. Yes No There is anterior wedging and/or compression of a vertebral body. Yes No There is an endplate avulsion, compression, or other fracture. Yes No There is displacement of a fracture fragment into the soft tissues or spinal canal. Yes No There is a lytic, sclerotic, or blastic lesion or erosion of a pedicle or other posterior element. Yes No 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 No There is focal or diffuse abnormal mineralization of the thoracic spine. Yes No Disc spaces, facet joints, and neural foramina: 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, lateral, 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 (included neck, chest, and abdomen): There is abnormality of the soft tissues and bones of the included neck other than from degenerative change. Yes No There is abnormality of the soft tissues and included bones of the upper extremities, clavicles, and sternum other than from degenerative change. Yes No 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. Yes No There is free intraperitoneal or retroperitoneal air, or other abnormal air in the included abdomen. Yes No There are vascular calcifications or other soft tissue calcifications present. Yes No There is a foreign body or there are post surgical changes of the bones or soft tissues of the included neck, thorax, or abdomen. Yes No There is an abnormality or complication of post surgical hardware/device. Yes No N/A 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