SINUS/FACIALSERIES

FINDINGS:PA,Waters,andlateralviewsofsinuseswereobtained.[PA,Caldwell,Waters,Townes,andlateralfacial
serieswasobtained].Paranasalsinusesappearwellpneumatizedwithoutairfluidlevelorsignificantopacification.No
nasalseptaldeviation.Orbitalrimandnasalboneappearnormal.Nodisplacedfractureordestructivecalvarial
lesion.Maxilla,mandible(symphysis/parasymphysis/body/angle/ramus/coronoidprocess/condyle/subcondylar),
andzygomaticarcharenormal.Noperiapicallucencyalongrootof[incisor,canine,premolar,molar]tooth.

IMPRESSION:Noradiographicevidenceforsinusitis.PleasenotethatCTismoresensitiveandspecificstudy.

NASALSERIES

FINDINGS:Nodisplacednasalfracture.Nasalseptumismidline.Normalnasofrontalsuture,ethmoidalgroove(for
nasociliarynerve),andnasomaxillarysuture.

IMPRESSION:Normalnasalseries.CTscanismoresensitivestudy.

SHUNTSERIES

FINDINGS:VPshuntserieswasobtained.Intracranial/ventricularportionofshuntcatheter[isnotwellvisualized],
reservoir/valve,anddistalshuntcatheterappearsnormal.[Ashortsegmentradiolucentportionofcatheterjustdistalto
reservoircannotbeassessedonplainfilm].Cathetertubingisseencoursingalong[left/right]neckandbodywall,
[loopingwithinabdomen]withtipterminatingwithin[quadrantofabdomen/pelvis].Nocatheterdisconnect/discontinuityor
kinking.

IMPRESSION:NoradiographicevidenceforVPshuntmalfunction.

NECKSOFTTISSUE

FINDINGS:SofttissueAPandlateralviewsofneckshowspatentairwayswithoutfocalnarrowingorballooningof
hypopharynx.Epiglottisandaryepiglotticfoldsarenormal.Nosubglotticnarrowingorsteeplesign.Noenlarged
adenoidsorpalatine/lingualtonsils.Retropharyngealsofttissuesareunremarkable.

IMPRESSION:NormalsofttissueXray.

TMJSERIES

FINDINGS:APandopen/closedmouthlateralobliqueviewsoftemporomandibularjoints(TMJ)aresubmitted.Bilateral
mandibularcondyleheadsarenormalinappearanceandwellplacedwithintemporomandibularfossaonclosedmouth
views.Openmouthviewsdemonstratenormalanteriortranslationofmandibularcondylejustunderneaththearticulate
eminence.Nojointspacelosstosuggestarticulardiscinjuryordegeneration.

IMPRESSION:normalradiographicappearanceofbilateralTMJ.MRImaybeconsideredifsymptomspersist.

SHOULDER
FINDINGS:internal/externalrotationAPviewincludingaxillary,scapularY,andgrasheyprojectionsaresubmitted

ACJOINTS

FINDINGS:APviewsofbilateralACjointswithoutandwithoutweightbearingdemonstratenormalacromioclavicularand
coracoclaviculardistanceswithoutfracture,dislocation,orsignificantdegenerativechanges.

FRACTURE

FINDINGS:[acute/subacute][open/closed][intraarticular][mild/mod/severelycomminuted]
[incomplete/avulsion/transverse/oblique/spiral/longitudinal/segmental/impacted/torusorbuckle/greenstick/pathologic]
fracture.[Disarticulation].[Segmentalboneloss].[Pulverized].[Mangled].

[withdegapexxangulation][nondisplaced][mmorshaftwidthor100%displacement/translationofdistalfxfragment]
[mmforeshorteningorbayonetteapposition/overriding][distracted][withinterposedbutterflyfragment][fracture
dislocation][articularstepofforincongruity].

Thereisavulsionfractureat[volar/dorsalplate]involving[%ofarticularsurface]with[mmproximalornosig
displacementoffxfragment]and/or[mildarticularincongruity].

IMPRESSION:[]

FRACTUREFOLLOWUP

FINDINGS:[]viewsof[]aresubmitted[infiberglassorplastercast/splintwhichobscuresfineanatomicdetails][outof
cast/splint].[Disuseosteopenia].

Patientiss/pclosedreductionwith[adequaterestorationofanatomic][improved][nearanatomic]alignment.

Patientiss/popenreductioninternalfixation(ORIF)with[fixationplateandscrewsorfixationhardware]providing
[appropriate/nearanatomic]alignment.Externalfixationdeviceinplace(aboveandbelowfxsite)withpins/screws
connectedtoexternalfixationrodsviaclamps.

Screwextends[x]mmbeyondthemarginsof[location]cortex.The[location]screwhaspartiallybackedout[x]mmwith
screwheadnowprotrudingintoadjacentsofttissue[andmaybesourceofpatientsdiscomfort].Perihardwarelucency.

Alignmentandconfigurationoffractureremainsunchangedcomparedto[Xray].[Correlateforexpectedpostop
outcome].

Therehasbeeninterval[increasingsclerosisatfracturesite][periostealnewboneformation][immature/maturecallus]
[bridgingosseouscallus][obliterationoffracturelucency]suggestingcontinuedhealingandremodelling.Appropriate
osseousunionwithoutresidualfracturelucency.Fracturemarginsareilldefinedsuggestingresorptionorhyperemia
associatedwithearlyinflammatory/reparativeprocess.Fracturelucencyremainspartiallyvisible.Fracturecleftisstill
visible.Healedfracturewithmildresidualdeformity.Malunited/ununitedfracture(>6mos).Malunion/nonunion.

Reconstructionof[site]withosteotomyandintervening[iliac]bonegraftalongwithfixationhardwareproviding
[improved/anatomic]alignment.Incorporationofbonegraftatosteotomysite.

IMPRESSION:[Continued][early]healing[]fracture[withunchangedalignmentandconfigurationcomparedtoXray][in
nearanatomicalignment].

Fracturefollowupshowingstablealignmentwith[progressionofbonyhealing][early/advancedpartialhealing].Fracture
followupshowingnosignificantintervalchange.

Healedfractureinappropriateanatomicalignmentwithoutevidenceofmalunion/nonunion.

Nohardwarecomplication.[Correlateforexpectedpostsurgicaloutcome].
Noradiographicevidenceforacuteorhealingfracture.

HIP

FINDINGS:APviewofthepelviswith[L/R]hipinneutralpositionalongwithdedicatedfrogleglateralprojectionare
submitted.[]viewsof[L/R]hipwithtemplateforpreoperativeplanning.

Thereis[coxaprofunda]oracetabular[retroversion][overcoverage]seenwithPINCERtypeFAI.Dysplasticbumpat
lateralfemoralheadneckjunctionseenwithCAMtypeFAI.Smallcalcificdensityalongsuperolateralacetabularrim
likelyrepresentssequelofchroniclabralimpactioninjuryvsosacetabuli.Tinylucenywithscleroticrimwithinfemoral
neckmostlikelyfibrocysticlesionorheniationpit.

[Mild/moderate/sig/exuberant]periarticularosteophytosiswithsubchondralsclerosisand[prominent]geodeformation
alongwith[predominantlysuperiorjointspaceloss][boneonboneappearance].Thereisassociated[flattening]
[remodeling]offemoralheadarticularsurface.Serpiginoussubartiacularsclerosisoffemoralheadsuggestiveof
AVN.Axialmigrationoffemoralheadwithacetabularprotusio.Coxa[varus/valgusdeformity].Enthesopathicchanges
alonggreatertrochanter.[size]psttraumatic/dystrophicossificationcontiguouswith[]seenalong[].

ANKLE

FINDINGS:3[non]weightbearingviewsof[L/R]ankledemonstrate[lateral/medial]ankleSTSwith[mild/mod/sig]joint
effusionbutnoacutefractureconsistentwith[medial/lateral]anklesprain.Anklemortiseisintact.Nofocalsubchondral
lucencyattalardometosuggestosteochondralinjury.Noachilles/plantarcalcanealspur.Nosignificantdegenerative
changes.Incidentalnoteofostrigonumorsteidaprocess.

Thereis[transverse/oblique]fractureoflateralmalleolus[below/at/above]tibiotalarjointwith[out][lateralclearspace
widening>5mmconsistentwithsyndesmoticdisruption].Thereisassociated[medialmalleolarfracture]or[medialankle
jointwidening>4mmsuggestiveofdeltoidligamentdisruption].Widenedanklemortise.

[Bimalleolarfx][Trimalleolarfx][Pilonfxwithcomminuteddistaltibia][Tillauxfractureinvolvinganterolateraltibia]
[Triplanefxinskeletallyimmaturepatient][RecommenddedicatedtibfibXraytoexcludeproximalfibularfractureor
Maisonneuves]

FOOT

FINDINGS:3[non]weightbearingviewsof[L/R]footdemonstrate[mild/mod/severe]halluxvalgusdeformitywith
overgrowthofmedialaspectof1stMTheadwithoverlyingSTprominenceconsistentwithbunionformation.Also,
bunionetteat5thMTP.Degenerativechangesof[midfoot][1stMTP].Dorsalspurringatcalcaneonavicular
joint.Achilles/plantarcalcanealspurs.Thereispes[planus][cavus].Ostrigonum,normalvariant.Fixedflexiondeformity
of[digitatxjoint]suggestiveofhammertoe.

FOOTpostop

FINDINGS:[Single]Kwiretraverses[x]rayextendingpercutaneouslyfromdistaltuftacrossIP/MTPjtswithtipat[]
providinggoodanatomicalignments/p[hammertoerepair]with[resectionarthroplastyatxjoint].IntervalremovalofK
wirewith[appropriate/expected]fusion/arthrodesisat[joints].

Patientiss/p[bunionectomy][halluxvalguscorrection]with[asinglescrew]seenacross[proximal/distal]1stmetatarsal
osteotomysitewith[nosignificantresidual]halluxvalgusdeformity.Patientiss/pLapidusprocedurewithproximal
osteotomyandsurgicalarthrodesisof1stTMTjointwithhardware.

Osseousmarginsattheosteomysitearesharpwithoutsignificantosseousunionatthistime.Noevidenceforhardware
complication.

BONEAGE

FINDINGS:AsingleAPviewofthelefthandissubmitted.Thepatient'schronologicalageis[]yearsand[]
months.Usingthe"RadiographicAtlasofSkeletalDevelopmentoftheHandandWrist"byGreulich&Pyle,boneageis
assessedtobeapproximately[]yearsand[]months.StandarddeviationforvariabilityinskeletalageperBrush
Foundationstudyis[]months.

IMPRESSION:[Normal/delayed/accelerated]skeletalmaturationwithboneage[within/below/greaterthan]2standard
deviationsofskeletalage.

SCOLIOSIS

FINDINGS:[APandlateral]standingscoliosissurveyisobtained.[dextro/levo]curvatureofthe[thoracic]spinewith[]
degreeCobbanglemeasuredfromthesuperiorendplateofthe[]vertebralbodyandtheinferiorendplateofthe[]
vertebralbody.Thereis[secondary/compensatory][dextro/levo][roto]curvatureof[lumbar]spinewith[]degreeCobb
anglemeasuredfrom[]to[].[Noexaggeratedthoracickyphosisorlumbarlordosis].[Novertebralanomalies].[#]ribs
noted.[Nopelvictilt].[25/50/75/100%]ofiliacapophysesisossifiedandis[closed/openorfused/unfused].[Congenital
blockvertebrae].

IMPRESSION:[Nosignificantscoliosis].[Considerscanogramforpossibleleglengthdiscrepancy].

SCANOGRAM

FINDINGS:A[CTscanogramimage][standingfulllengthAPradiographoflowerextremities]isobtained[forpreop
planning].[Ascanogramwasobtainedoflowerextremitieswith3separateexposurescenteredatbilateralhip,knee,and
ankles].

Leglengthismeasuredfromtheproximalendoffemoralheadtothecenteroftibialplafond.Leftlegmeasures[]mmand
therightleg[]mmwithadifferenceof[]mm.

Anglebtwnfemoralmechanicalaxis(drawnfromcenteroffemoralheadtointercondylarnotch)andtibialmechanicalaxis
(drawnfromcenteroftibialplateautocenteroftibialplafond)isxdegvarus/valgusontherightandydegvarus/valguson
theleft.(Note:anglesreportedasdeviationfrom180negarevarus=apexlateralandposarevalgus=apexmedial)

IMPRESSION:[Nosignificantleglengthdiscrepancy].[Leglengthdiscrepancyasabove].

CSPINE

FINDINGS:[3/5]viewsofcervicalspinewereobtained.Vertebralbodyheightandalignmentisnormal.Nosignificant
discspacenarrowingorotherdegenerativechanges.Osseousneuroforaminaarepatent.Predentalspaceand
prevertebralsofttissuesarenormal.Visualizedlungapicesareunremarkable.

C7T1vertebraljunctionisnotwellvisualizedonlateralprojection.Limitedopenmouthodontoidviewdueto[technique]
[overlyingdentitionordentalamalgam].Straighteningofnormalcervicalcurvaturemaybeduetomuscle
spasm/strain.Multileveluncovertebralhypertrophy.Anteriorlongitudinalligamentcalcificationisnotedatadjacentto
[].Dystrophicnuchalligamentcalcification.Incidentalnoteofcervicalribsorsymmetricallyprominent/elongatedC7
transverseprocesses.

IMPRESSION:[]

CSPINEPOSTOP

FINDINGS:[3/5]viewsofCspinewereobtained.Patient[isstatuspost][hashadprior]anteriorcervicaldiscectomy
andfusion(ACDF)from[C3]to[C6]level.Nointervalchangeinhardwarealignmentorconfiguration.Noperihardware
lucencyorinterbodygraftmigration.[Interbodygraftormetalcageisappropriatelyincorporatedwithintervertebral
osseousfusion].Interbodygraftormarkersarenoted[withoutsignificant][withincomplete/partial]intervertebralosseous
fusion[atthistime].Minimalresidualspondylolithesisat[]islikelyexpectedpostoperativeoutcome.

[Discreplacementhardwareordiscimplantinplace.]

IMPRESSION:Nocervicalspinalfusionhardwarecomplication.Correlatewithexpectedpostoperativeoutcome.

LSPINE

FINDINGS:[3/5]viewsofthelumbarspinewereobtained.5nonribbearinglumbarvertebralbodies.Vertebralbody
heightandalignmentisnormal.Nodegenerativeosteophytosis,facetarthropathy,ordischeightloss.Nopars
defects/spondylolysisorspondylolisthesis.

6nonribbearinglumbartypevertebralbodies[withthemostinferiorvertebralbodylabeledasL6forpurposesofthis
dictation][withmostsuperiorvertebralbodypresumedtorepresentT12withhypoplasticribs].Transitionalanatomyat
lumbosacraljunctionwith[lumbarizedS1][sacralizedL5][partiallysacralizedL5withpseudoarthrosisorleft/rightL5
transverseprocesswithadjacentS1segment]whichcanbesymptomaticduetoalteredbiomechanics.

[Straighteningoflumbarcurvaturemaybeduetomusclespasm/strain].[Mild/mod/sig][multilevel]degenerativechanges
withosteophytosis,endplatesclerosisandschmorlsnodeformationworstat[level]alongwtih[mild/mod/sig]discheight
loss.[Mild/mod/sig][left/right][level]facetsclerosis/hypertrophy/arthropathy.

Thereisageindeterminant[mild/mod][level][%]anteriorwedgecompressiondeformity.Minimalanteriorvertebralheight
lossatthoracolumbarjunctionislikelyphysiologicsequelaofchronicaxialloading.[]mmantero/retrolisthesisof[]on[]
with/withoutparsdefects.

CongenitallyunfusedtransverseprocessesatL1.Posteriorspinalfusiondefectat[].[Multilevelenlargementand
appositionofadjacentspinousprocesseswithreactivesclerosisconsistentwithBaastrupsdisease].

[BilateralinferiorSIjointdegenerativechangeswithoutabnormalSIsclerosistosuggestsacroilitis].[Sacralarchesare
intact].Presumedpelvicphleboliths.

IMPRESSION:
1.Multilevel[mild/mod/severe]DDDworstat[]with/withoutdischeightloss.[]facetarthropathy.
2.Multilevel[mild/mod]DJDwithoutsignificantdischeightloss.
3.Ifradicularsymptoms,considerfurtherevaluationwithMRI.

LSPINEPOSTOP

FINDINGS:[3/5]viewsofLspinewereobtained.Patienthashadpriornoninstrumentedlaminectomyandposterior
spinaldecompressionat[].Patient[isstatuspost][hashadprior]instrumentedinterbodyfusionwithposteriorspinal
rodsandpedicularscrewsat[L3thruS1]levels.Nointervalchangeinhardwarealignmentorconfiguration.No
perihardwarelucency,hardwarefracture,orinterbodymigration.[Interbodygraftormetalcageisappropriately
incorporatedwithintervertebralosseousfusion].Interbodygraftormarkersarenoted[withoutsignificant][withincomplete
/partial]intervertebralosseousfusion[atthistime].Minimalresidualspondylolithesisat[]islikelyexpectedpost
operativeoutcome.[Intervalworseningdegenerativechangesat[]adjacenttospinalfusionissuggestiveoftransitional
syndromedueabnormalbiomechanics].

IMPRESSION:Nolumbarspinalfusionhardwarecomplication.Correlatewithexpectedpostoperativeoutcome.

CTCSPINE

COMPARISON:[]

TECHNIQUE:NoncontrastCTcervicalspinewasperformedat[]mmcollimationfromskullbasethruthoracicinlet
withoutIVcontrast[withpatientinCcollar].Sagittalandcoronalreformatswereobtained.

FINDINGS:

Noacutefracture.Noprevertebralsofttissueswelling.Atlantooccipitalandatlantoaxialarticulationisnormal.Atlanto
dentaldistanceisnormal.

CxCy:Vertebralheightandintervertebraldiscspaceismaintained.Nospondylolisthesis.Noneuroforaminal
narrowing.Nofacethypertrophy.Productivedegenerativechangesleadto[min/mild/mod/severe]centralcanalstenosis.

IMPRESSION:[]

SKELETALSURVEY

COMPARISON:[]

TECHNIQUE:Osseoussurveyincludes[AP/lateralskull,PA/lateralchestalongwithobliqueribseries,AP/lateral
cervical/thoracic/lumbarspine,APpelvis,AP/lateralhumeri/forearms,andAP/lateralfemurs/tibia/fibula].

FINDINGS:[Osseousmineralizationisnormal].[Generalizedosteopenia].

Skull:[]
Chest/ribs:[]
Spine:[]
Abdomen/Pelvis:[]
Upperextremities:[]
Lowerextremities:[]

IMPRESSION:[Nofocallyticlesion].[Degenerativechangesasabove].

INTRAOPFLUORO

FINDINGS/IMPRESSION:[Intraoperative]fluroscopicsupportwasprovidedfor[department][Dr].[Number][unlabeled]
[collimated]fluorospotimagesof[location]wereobtainedwhichdemonstrate[instrumenttippointingtoposteriorL5S1
intervertebrallevel].Totalfluorotimeof[].Pleaseseeoperative/procedurereportfordetails.

Intraopfluorosupport.Xspotimageswerestored.TotalfluorotimeofXmin.Seeopreportfordetails.

JOINTDJD

FINDINGS:Thereare[mild/moderate/severe]degenerativechangescharacterizedby
[small/bulky/exuberant]periarticularosteophyteformation,subchondralsclerosis,[prominent]
geodes,[mild/mod/severe]jointspacenarrowing/loss[withboneonboneappearance],and
[articularsurfaceremodeling].[No]effusionorjointloosebodies.Enthesophaticchangesare
noted.Osseousmineralizationisnormal.[coxa/genu][varus/valgus]deformity.

IMPRESSION:[stable/chronic][mild/moderate/severe]DJDwithoutacutefindings.

ARTHROPLASTY

FINDINGS:[Total][unipolar/bipolarhemi][unicompartmenthemi][hip/knee][cemented]arthroplastyhardwarestablein
alignmentandconfigurationwithoutabnormallucencyat[hardwareosseous][cementhardware]interface.Noperi
hardwareheterotopicboneformation.Nosignificantretainedosseousfragment.Noossifiedjointloosebodies.

[Baselineexamstatuspostarthroplastyshowsradiolucentzonelikelyduetopoorcementpacking,normalfibroustissue
12mmormovementofprosthesisbeforecementhaspolymerized.]

Complications:
[Periprostheticfracture][Intraopfxvscontrolperforationduringrevisionreducedwithcerclagecables]
[Cementextrusion(intrapelvicthrumedialacetabulum)][cementfractureorfragmentation]
[Componentwearduetopoorpositioning]
[Componentmigration(loosening)radiolucentzoneatinterface>2mm][Tiltingorcranial/medialmigrationofacet
component][abnormallateralinclinationofacetcomponentnl3050deg][varus/valguspositioningoffemstem][femhead
componenteccentricallylocatedwithinacetcup][Polyetheleneliner/spacerofacetabulum:wearordislocationwith
eccentricpositionoffemoralhead][subsidence(sinking)ofcomponent]
[Hardwaredislocation]
[Heterotopicossification]
[Lucencyatmedialfemur(nearlessertroch)=calcarresorption][Lucenyatlateralfemur(neargrtroch)=stresssheilding]
[Particledisease][Osteolysis(aggressivegranulomatosis)]
[Nonunionofgreatertrochanterosteotomy]
[Brokenorfrayedcerclagewire/cable]
[Corticalthickening(stressfxduetoalteredbiomechanics)orabnlcorticalthinning]
[Revisionarthroplasty]
[Infection:softtissuegas,laminatedperiostealrxn(rare)]
[s/phardwareremoval,placementofabximpregnantedcementspacers]

IMPRESSION:stable[knee/hip]hardwarewithoutradiographicevidenceforcomplication.

HANDARTHRITIS

FINDINGS:[3]standardviewsofbilateralhandsalongwithballcatchersprojectionwereobtained.

OA=Thereis[mild/mod]periarticularosteophytosis,subchondralsclerosis/geodeformationand[mild/mod]jointspace
narrowingprimarilyinvolving[DIPand1stCMC]joints.Thesechangesareworstat[]joint.Noperiarticularosteopenia,
jointerosions,periostitis,orsignificantdeformity.Bouchard(PIP)andHeberden(DIP)nodesarenoted.Mildsubluxation
at1stCMCjoint.

RA=Thereisdiffuseperiarticularosteopeniawithperiarticularmarginalerosionsseenat[severalMCPjointsandatulnar
styloidtip].ThereisjointspacelossandulnardeviationsatMCPjoints.SwanneckandBoutonnieres
deformities.Patternofinvolvementissymmetricforbothhands.Extensivedestruction,ankylosis,and
subluxations.Rheumatoidnodules.

Psoriasis=Thereisasymmetricpredominantlydistalinvolvementwithjointspacelosswithoutosteopenia,marginal
erosions(withmickeymouseears),pencilincupdeformities,ankylosis,acroosteolysis,ivoryphalanx,andfluffy
periostitis.Diffusesofttissueswellingofdigits(sausage).Correlationwith[pelvis]findingsofasymmetricsacroilitis
makesseronegativespondyloarthropathy(HLAB27)likely.

ErosiveOA=Thereissymmetricpredominantlydistalinvolvement(PIPandDIPjoints)withjointspacelossandcentral
erosionswithgullwingdeformitiesandankylosis.Also,thereareproductivechangestoincludeperiarticular
osteophytosis,subchondralsclerosis/geodeformationinvolvingboth[DIPand1stCMC]joints.

CPPD=ThereischondrocalcinosisalongregionofTFCCandradiocarpaljointwithjointspacenarrowingandprominent
subchondralcystformationatthewristjoint.BeaklikeosteophytesatMCPjoints.Thereisscapholunateinterval
wideningwithscapholunateadvancedcollapse(SLAC).

Gout=Thereisasymmetric[monoarticular]punchedouterosionswithscleroticmarginsandoverhangingedgesat
[].Relativesparingofjointspaceandnosignificantperiarticularosteopenia.Adjacentmasslikesofttissueswellingand
scatteredcalcificationsmayrepresenttophusformation.

IMPRESSION:[mild/mod/sig]osteoarthriticchanges.Findingsconcerningforinflammatoryarthritiscorrelationwith
serummarkersissuggested.

BONETUMOR

FINDINGS:
[size][expansile]
[wellcircumscribed/marginated/illdefined]with[narrow/wide]zoneof
transition[epiphyseal/metaphyseal/diaphyseal/juxtacortical/juxtaarticular/intramedullary]
[sclerotic/lucent/lytic/motheaten/permeative/lucentwiththinorwelldefinedscleroticrim]
[amorphous/cloudlike,arc/swirls,GG]matrix
Noassociated[endostealscalloping,periostealrxn,corticaldisruption,oranydiscernableSTcomponent]

IMPRESSION:aggressiveornonaggressiveosseouslesion.

POSTOPBONETUMORSURGERY

FINDINGS:patientisstatuspost[enucleation][curettage][cementingwithpolymethylmethacrylate(PMMA)]ofprior
[osseoustumor]within[location].Overallappearanceisunchangedfrompriorstudieswithnofocallyticlesionorabsence
ofscleroticrimatbonecementinterfacetosuggestrecurrence.

IMPRESSION:Stablepostopchangeswithnoradiographicevidenceforrecurrence.

SACRUM/COCCYX

FINDINGS:sacrococcygealalignmentisnormal.Nowideningofsynchondrosisorabnormalangulation.Sacralarches
andSIjointsappearsnormal.

IMPRESSION:noacuteosseousinjury.