Preview

Sample MRI Case Report

Satisfactory Essays
Open Document
Open Document
235 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Sample MRI Case Report
DOI: 5/29/2015. Patient is a year old male truck driver who sustained injury while he was driving when he felt a pop in his back and felt extreme pain. Per OMNI, he was initially diagnosed with lower back strain.
Based on the latest medical report dated 03/28/16 by Dr. Sanz, the patient complains of unchanged moderate to severe pain in his lumbar spine, described as achy, dull and stiffness. He reports worsening left-sided lumbar spine pain with radicular symptoms in the bilateral lower extremities, left greater than the right side. As of this report, an MRI (no official report) showed a right sided disc bulge at the L4-5 level and left sided herniated nucleus pulposus (HNP) at L5-S1 level. Pain is rated as 8/10. He still reports
Continue Reading
View Writing Issues

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Ime Report Sample
    • 277 Words
    • 2 Pages

    Ime Report Sample

    DOI: 1/11/2010. Patient is a 67-year-old male folder who sustained injury while he was pulling out towels out of a hopper. Per OMNI entry, he was initially diagnosed with neck and upper back strain. It was noted that the IW continues with chiropractic care.…

    • 277 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Case Study Of Operative Report: Deanna Martinez
    • 343 Words
    • 2 Pages

    Case Study Of Operative Report: Deanna Martinez

    OPERATIVE REPORT Patient Name: Deanna Martinez Patient ID: 117232 Date of Surgery: 05/27/---- Admitting Physician: Sheila Goodman, MD, Neurosurgery Surgeon: Sheila Goodman, MD Assistant: Markus LeRoy Johnson, PA-C Preoperative Diagnosis: Lateral recess syndrome at L5-S1, right.…

    • 343 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Radiology report for DENNA MARTINEZ
    • 250 Words
    • 1 Page

    Radiology report for DENNA MARTINEZ

    Clinical Information: Colon pervious CT evidence of disk bulging. Patient with lower back and right leg pain.…

    • 250 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Post Ortho AME Case Summary
    • 451 Words
    • 2 Pages

    Post Ortho AME Case Summary

    DOI: 12/29/2005. The patient is a 35-year-old male carpenter who sustained injury to his lower back after falling from a ladder while nailing some plywood. Per OMNI, he was diagnosed with status post lumbar fusion at L5-S1 on 09/01/09, spondylolisthesis at L5-S1, and L5-S1 spinal fusion on 09/27/12. Patient is status post spinal cord stimulator trial on 01/04/13 with poor response. Per Ortho AME dated 03/28/13 by Dr. Fernandez, the patient has permanent impairment with 26% whole person impairment rating. Future medical care includes occasional doctor visits 6-8x/year with prescription medicines, 12 PT sessions for flare-up, which could be exchanged with acupuncture or chiropractic treatments on a one-on-one basis, 2 epidural injections per year, permanent electrical stimulator, further surgery with…

    • 451 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Executive Summary: The Injury Of Lumbar
    • 319 Words
    • 2 Pages

    Executive Summary: The Injury Of Lumbar

    As per OMNI, the patient was diagnosed with lumbar degenerative disc disease, chronic pain syndrome, lumbar spondylosis and bilateral knee degenerative arthritis.…

    • 319 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Work Related Injury Case Study
    • 466 Words
    • 2 Pages

    Work Related Injury Case Study

    As per medical report dated 4/12/16, patient has multiple pain complaints such as lumbosacral symptoms, thoracic symptoms, cervical symptoms, right shoulder symptoms, right wrists symptoms, and headache symptoms. The pain in the lumbar and thoracic area are aggravated by flexion at the waist, torso rotation, prolonged static positions of rest, lifting /carrying greater than 15 pounds, pushing/pulling greater than 15…

    • 466 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    IME Report Summary
    • 300 Words
    • 2 Pages

    IME Report Summary

    Based on the latest medical report dated 05/02/16, the patient complains of bilateral neck pain rated as 6/10. He reports that his right superior shoulder…

    • 300 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Nursing Case Summary
    • 317 Words
    • 2 Pages

    Nursing Case Summary

    DOI: 8/16/2015. Patient is a 34-year-old female cabin cleaning supervisor who sustained injury while she was going up jet bridge stairs when she tripped and landed on her left knee. Per OMNI, she was initially diagnosed with left knee sprain/strain.…

    • 317 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Work Related Injury: A Case Study
    • 351 Words
    • 2 Pages

    Work Related Injury: A Case Study

    DOI: 9/4/2014. The patient is a 40-year old male carpenter who sustained a work-related injury to his low back and left shoulder after lifting a heavy beam at work. Patient is status post lumbar ESI at L5-S1 per procedure report dated 05/13/15.…

    • 351 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Medical Case Summary
    • 444 Words
    • 2 Pages

    Medical Case Summary

    DOI: 4/1/2004. The patient is a 70 -year-old male operator who sustained a work-related injury to his right knee, shoulder and head when he fell off a bike at the refinery.…

    • 444 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Traumatic Brain Injury Case Studies
    • 545 Words
    • 3 Pages

    Traumatic Brain Injury Case Studies

    There was a disc desiccation C2-C3 through C6-C7 with disc height loss at C6-C7. There was Modic type II endplate degenerative changes at C4 and C6. At C3-C4, there was a disc bulge of 1.7 mm with narrowing of the right neural foramen and deformity or the right C4 exiting nerve root. At C4-5, there was grade 1 anterior spondylolisthesis with superimposed broad-based disc protrusion abutting the thecal sac but without spinal canal stenosis. There were disc material and degenerative joint change which caused narrowing of the right greater than left neural foramen with deviation of the C5 exiting nerve root with disc measurement of 2.1 mm. At C5-C6, there was a broad-based disc protrusion abutting the thecal sac but without significant spinal canal stenosis. There were disc material and degenerative joint uncovertebral change that has caused narrowing of the right greater than left neural foramen with deviation of the right C6 exiting nerve root and the disc measurement of 2.1 mm. At C6-C7, there was a broad-based disc protrusion abutting the thecal sac but without a significant spinal canal stenosis. There was concurrent bilateral uncovertebral joint degenerative change. The disc material and degenerative joint change have caused narrowing of the right greater than left neural foramen. The disc protrusion measured 3 mm. There was a reversal of the normal cervical lordosis. An MRI of the thoracic spine reviewed on 07/19/17 documented a degenerative loss of disc height at T6-T7 and T10-T11. There were hemangiomas at T1, T4, and T8. There was a straightening or the normal thoracic kyphotic curvature. An MRI of the left shoulder reviewed on 07/19/17 documented a mild supraspinatus and infraspinatus tendinosis with flat downsloping acromion and mild acromioclavicular joint arthritis. The x-rays of the lumbar spine reviewed on…

    • 545 Words
    • 3 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Iw Injury
    • 588 Words
    • 3 Pages

    Iw Injury

    DOI: 8/15/2013. Patient is a 58-year-old female cleaner who sustained injury while she was cleaning and mopping the bathroom when she fell and hit her head/back. Per OMNI, she was diagnosed with cervical and lumbar radiculopathy, cervical herniations at C5-7, and lumbar herniation at L3-4. She underwent an anterior cervical diskectomy and fusion at C5-6 and C6-7 on 04/03/14 and lumbar laminectomy at L4-5 on 09/10/15.…

    • 588 Words
    • 3 Pages
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    DIAGNOSTIC IMAGING Example
    • 317 Words
    • 2 Pages

    DIAGNOSTIC IMAGING Example

    This 57-year-old Cuban female was admitted from my office repeat severe stomatis, and mild volume depletion. Secondary to poor fluid and fluid intake. Initially, the possibility of erythema multiformlike picture was raised because she did have some skin lesions, however; dermatology consultation with Dr. Kato suggest this was most likely methotrexate related. She was given intravenous ?. And high- dose prednisone treatment. This along with her intravenous fluids stabilized her condition. At the time of discharge her oral ulcers have markedly decreased. She could swallow without difficulty, and her p.o. intake was adequate. During hospitalization and after consultation with Dr. Kato, treatment options were discussed with the patient, at this point she has elected to return to treatment with methotrexate bit of a lower dose with concurrent use folic acid.…

    • 317 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Good Essays

    Radiology Application Research Paper
    • 656 Words
    • 3 Pages

    Radiology Application Research Paper

    I want to go to Shawnee State University because I fell in love with their campus, how they treat their students and all the things they have to offer; they have two of the three programs that I would like to do. Shawnee State University was established in 1986. Shawnee State is located in Portsmouth Ohio along the Ohio River. They have about eighty different programs you can choose from. I would love to study Dental Hygiene and/or Radiologic Technology at Shawnee State University after I graduate from Point Pleasant.…

    • 656 Words
    • 3 Pages
    Good Essays
    Read More
  • Good Essays

    Diagnostic Imaging
    • 764 Words
    • 4 Pages

    Diagnostic Imaging

    Diagnostic Imaging is medical tools used by doctors to see inside our bodies without actually opening the body. Diagnostic imaging can involve the use of radiation which could be dangerous if exposed to large amounts of. Diagnostic imaging allows doctors to find tumors, broken bones, pneumonia, etc. In general, diagnostic imaging is very helpful.…

    • 764 Words
    • 4 Pages
    Good Essays
    Read More