RADIOLOGY REPORT: A GENERAL OUTLINE FOR THE D.C.
 
   

Radiology Report:
A General Outline for the D.C.

This report was compiled by Frank M. Painter, D.C.
Send all comments or additions to:
  Frankp@chiro.org

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RADIOLOGY REPORT:


PATIENT'S NAME:

PATIENT'S ADDRESS:

DATE OF BIRTH:

PATIENT'S FILE #:


VIEWS SUBMITTED:   A routine cervical/thoracic/lumbar series was accomplished on x-x-x at Westgate Orthopaedics/West Suburban Hospital.


RADIOLOGICAL FINDINGS:   In the cervical series, the A-P view revealed mild/moderate right/left rotatory curvature of the cervical spine, with left/right spinous process rotation from C- to C/T-, and with left/right lateral translation of the head of -". NOTE: Add comments about any sclerotic changes on the lateral aspects of the discs, vertebral bodies, pedicles, or facets.


The neutral lateral view demonstrated a mildly/moderately hypolordotic cervical spine with a -- cm. curve (normal for this patient would be a 17-22 cm. curve). There is -- cm. of anterior head/spine placement. The disc spaces are mildly/moderately reduced at C-, with mild/moderate anterior/posterior 0 osteophytes present/ OR are well preserved. The Atlas Plane line is -- (normal is 18-24o ) and the Whitehorn's (Axis) angle is -- (normal is 0o ).


The flexion view revealed in/adequate anterior sagittal translation of the spine with the -- segments moving as a unit and/or hypermobile translation at the C-- segment(s) was observed.


The extension view demonstrated in/adequate posterior sagittal translation of the spine with the -- segments failing to extend, and/or paradoxic motion evident at the -- segment(s), and paradoxic motion evident at the -- segment(s).


Cervical rotation views demonstrate loss of axial rotation and lateral bending (reduced coupled motion patterns) in right/left rotation, with minimal spinous rotation from C-- to C-T--.


Cervical oblique views demonstrated...........


The APOM view revealed equal and adequate/slightly/moderately reduced atlantoaxial joint spaces, with right/left posterior rotation of the C1 segment, and right/left spinous rotation at C2.


Flexion locks are present at occiput, C1, C2, C3, C4, C5, C6, C7

Extension locks are present at occiput, C1, C2, C3, C4, C5, C6, C7, T1

Rotational locks are present at C7, T1, T2, T3, T4 on the left/right

Potential cervical listings are PR/PL at C2, C3, C4, C5, C6, C7



The Lumbar series reveals in the AP view a mild/moderate right/left rotatory curvature of the lumbar spine, with left/right spinous process rotation from T- to L-. There is a --mm. leg length iniquity on the left/right. There is anterior/posterior rotation of the bilateral/left/right ilia on sacrum. Sacrum is inferior on the left/right --mm OR is rotated to the right/left.


The lateral lumbar view demonstrates a mildly/moderately hypolordotic lumbar spine with a --cm. curve (normal for this patient would be a 20-24 cm. curve) The disc spaces are mildly/moderately reduced at L-, with mild/moderate anterior osteophytes present OR are within normal limits for this patient's age.


The lateral bending lumbar views reveals adequate motion to the -- and inadequate coupled motion patterns in -- lateral bending, with a loss of axial rotation of the T12, L1, L2, L3, L4, L5 spinous processes, which fail to rotate adequately towards the side of bending.


Lumbar oblique views demonstrated...........


The AP cephalic view demonstrates leg length iniquity on the left/right and sacral inferiority/body OR body rotation to the right/left.


The ilia listings are Right/Left PI AS EX IN

The sacral listings are BL BR, Inferior on the right/left

Rotational locks are present at L1, L2, L3, L4, L5 on the right/left

The potential lumbar listings are PR/PL at L1, L2, L3, L4, L5



The Thoracic series revealed in the AP view

 

The lateral thoracic view demonstrates



IMPRESSIONS:

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RECOMMENDATIONS: List here any additional tests that may shed more light on the patient's condition.

 

Frank M. Painter, D.C.



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