Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 172

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

“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.

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