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BODY SCREENING:

CERVICAL SPINE:   Views 0f the cervical spine demonstrate a normal C1-2 distance. A slight retrolisthesis of C3 over C4 and a grade I spondylolisthesis of C5 and 6 are seen. Disc space narrowing is present with marginal osteophytic changes seen at the 3-4, 4-5, and 6-7 levels consistent with degenerative changes. Foramina appear patent except for some narrowing of the 4-5 neural foramina on the right from hypertrophy. Note is made of ossification of the ligamentum nuchae at the lower C-spine.

PELVIS AND HIPS:   Views of the pelvis and hips reveal mild superior joint space narrowing, consistent with early osteoarthritis changes in the hips. Marginal osteophytes are seen at the acetabular margins. No fractures or focal lesions are identified.

SHOULDER:   Views of the shoulder reveal no erosive changes or focal bone lesions. A Some spurring superiorly is seen.

KNEES:  Weight–bearing frontal views reveals well maintained joint spaces with no erosive changes.

FEET:  Views of the feet demonstrate normal alignment and mineralization without evidence of erosive changes. Mild degenerative changes are seen at the metatarsophalangeal joint of the left great toe, probably osteoarthritic.

HANDS and WRISTS:   Reveal normal mineralization and alignment without evidence of erosive changes or joint space narrowing. Minimal osteoarthritis changes seen at the carpometacarpal joints of the thumbs.

IMPRESSION:

• No evidence of erosive disease.
• Scattered osteoarthritic changes and degenerative disc changes of the C-spine as noted above.

CLINICAL HISTORY:  Sinusitis.

SINUS X-RAYS:  Films demonstrate normal appearing ethmoid, maxillary and sphenoid sinuses. The inferior portions of the frontal sinuses appear abnormally dense and mucosal thickening is present in the dependent portions of the frontal sinuses.

IMPRESSION:  Findings suggestive of frontal sinusitis.

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