Academy of Chiropractic Personal Injury & Primary Spine Care Program
Quickie Consult 172
“The Right and Wrong of Reporting X-Rays”
Doctor #1 reports:
1. Cervical spine leaning from right to left a +2
2. Atlas right posterior superior right to left
3. Lumbar leaning left to right a +2
Doctor #2 reports:
1. Cervical: Right lean, decreased lordosis, mild anterior carriage of the head, mild decreased IVD at C5/6, decreased excursion on flexion and extension is noted, instability on extension is noted at C5/6, instability on flexion is noted at C2/3, C3/4, and C4/5.
2. Thoracic: Right lean, slight decreased kyphosis, anterior body compression (wedge-shaped vertebrae) at approximately T7.
3. Lumbar: Pelvic and sacral unleveling with the left hemipelvis elevated, right lean, left lateral convexity with +1/4 pedicle rotation noted, mild bilateral SI arthrosis, decreased lordosis, increased lumbosacral angle, and facet arthrosis from L4 to S1.
4. Extremity (Pelvis): No gross fracture, pathology, or dislocation is noted at this time.
5. Extremity (Ankle, bilaterally): No gross fracture, pathology, or dislocation is noted at this time.
Given the above 2 x-ray reports that were included in narratives, which doctor do you think a lawyer would want to work with? The answer is evident. Beyond that, look very carefully at report #1 and ask yourself if this is the type of clinical excellence that you would chose to represent you as an expert.
X-ray reports must render a depiction of what is present where the words paint a picture for the reader. Since we all spent countless hours in our professional training, let this quickie consult be a reminder of what we learned.