EFTA00622310.pdf

Elf raktinever 10/14/2015 8:40:18 AM PAGE 2/004 1Fix Sek`libe Richard J. Katz MD. Paul S. Choi, MD. Steven A. Albert, M.D. Sean K. Herman, MD. Alla on Bender Holmes, MD. Robert L. Ludwig, MD. Stephen D. Greenberg, M.D. Timothy W. Deyer, MD. Douglas R. DeCoreto, M.O. Michelle A Klein MD. Gavin L. Duke, MD. James W. [laxly M.D. Morton Schneider, M.D. (fel) 519 & 523 East 72nd Street • New YorK NY 10021 •3 East 75th Street, P Fifth Avenue • New York, NY 10021 430 East 59th Street, Sutton Place • New YOTIC, NY 10022 Tel: 212-288.1575 • Fox 212.288.7616 • www.eastrIverimaging.com BRUCE W MOSKOWITZ, M.D. 1411 NORTH FLAGLER DRIVE SUITE 7100 WEST PALM BEACH, FL 33401 Patient: EPSTEIN, JEFFREY Exam Date: 10/14/15 Ace No: MRN: Dear Dr. Moskowitz, MRI SCAN OF THE LUMBAR SPINE Clinical History: 62-year-old male with bilateral leg numbness for 2 years. Technique: The examination was performed with sagittal T1 weighted images, STIR and T2 weighted images, and axial T2 weighted images of the lumbar spine. Corona, T2 weighted images were obtained as wet. Comparison: No prior studies are available for comparison. Findings: Straightening of lumbar lordosis is noted with minimal retrolisthesis of o t3 nd minimal grade 1 anterolisthesis of L4 on L5. Vertebral heights are unremarkable. Smal intensity hemanglomata are present multiple levels. Multievel decreased ' is present. Disc space heights are unremarkable. EPSTEIN, JEFFREY ACC Exam Date' 10/14,15 DOB: 01/20/1953 ACCESS YOUR PATENTS WAGES AND REPORTS @ WWWEASTRIVERIMAGING.COM PET/CT • NIGH FIELD MRI. OPEN MRI • AIUL TIDETECTOR VOLUME CT (t7) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY • CORONARY CT ANGIOGRAPHY • VIRTUAL COLONOSCOPY • CT/AIR ANGIOGRAPHY EFTA00622310 Ma 0 n• ex OW Ater AU/19/ ZUlb IS:417r1IS AM PAGE 3/004 Fax Server At the L1-L2 level, there is no evidence of canal stenosis or foramina! narrowing. At the L2-I3 level, above described subluxation with disc bulge asymmetric to the right is noted causing mild right foramina' narrowing and mild bilateral lateral recess stenosis without significant central canal stenosis or foramina' narrowing. Mld facet changes are present At the L3-L4 level, disc bulge with facet changes are present causing mild bilateral foramina' narrowing and mild canal stenosis. At the L4-L5 level, above described subluxation with disc bulge and osteophyte asymmetric to the left is noted with facet changes causing severe left and moderate right foramina! narrowing. Disc bulge with ligamentous thickening is present causing severe central canal stenosis. At the L5-S1 level, osteophyte asymmetric to the right with facet changes are present causing moderate right foraminal narrowing as well as moderate left and severe right lateral recess stenosis. No significant left foramina! narrowing is present. The conus is normal shape and position. There is no evidence of prevertebral or paraspinal soft tissue abnormality. IMPRESSION Osteophyte with facet changes causing moderate right foraminal narrowing at L5S1 with moderate left and severe right lateral recess stenosis. Grade 1 anterolisthesis of L4 on L5 with severe central canal stenosis and severe loft and moderate right foraminal narrowing. Mild bilateral foramina! narrowing at L3-L4. Mild right foramina! narrowing at t2-L3. Very truly yours, PAUL CHOI, M.D. Electronically Signed By. PAUL CHOI, M.D. Date/Time Transcribed: 10/14/15 8:39 am ERSIEIN, JEFFREY ACC Exam Date: 10/1415 COB: 01/20/1953 0.4 EAST RIVER MEDICAL IMAGING, PC WWW.itattriverimagIng.com PET/CT • HIGH FIELD MRI • OPEN MRI • AIULTIDETECTOR 1211U:tie CT flICT)• BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY • CORONARY CT ANGIOGRAPHY• VIRTUAL COLONOSCOPY • CIAIR ANGIOGRAPHY EFTA00622311 REPORT CC: CC PATIENT EPSTEIN, JEFFREY ACC Exam Date. 10/14/15 DOB: 01/20/1953 EAST RIVER MEDICAL IMAGING, PC vnimaastriverimaging.com PET/CT • HIGH FIELD Mill • OPENMFU• MULTIDETECTOR VOLUME Cr (VC7)• BONE DENSITY• NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY • CORONARY CT ANGIOGRAPRY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAPNY EFTA00622312