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Medical Specialty:
Radiology
Sample Name: Lumbar Discogram
Description: Lumbar discogram L2-3, L3-4, L4-5, and L5-S1. Low back pain.
(Medical Transcription Sample Report)
PREOPERATIVE DIAGNOSIS: Low back pain.
POSTOPERATIVE DIAGNOSIS: Low back pain.
PROCEDURE PERFORMED:
1. Lumbar discogram L2-3.
2. Lumbar discogram L3-4.
3. Lumbar discogram L4-5.
4. Lumbar discogram L5-S1.
PROCEDURE IN DETAIL: The patient was brought to the Radiology Suite and placed prone onto a radiolucent table. The C-arm was brought into the operative field and AP, left right oblique and lateral fluoroscopic images of the L1-2 through L5-S1 levels were obtained. We then proceeded to prepare the low back with a Betadine solution and draped sterile. Using an oblique approach to the spine, the L5-S1 level was addressed using an oblique projection angled C-arm in order to allow for perpendicular penetration of the disc space. A metallic marker was then placed laterally and a needle entrance point was determined. A skin wheal was raised with 1% Xylocaine and an #18-gauge needle was advanced up to the level of the disc space using AP, oblique and lateral fluoroscopic projections. A second needle, #22-gauge 6-inch needle was then introduced into the disc space and with AP and lateral fluoroscopic projections, was placed into the center of the nucleus. We then proceeded to perform a similar placement of needles at the L4-5, L3-4 and L2-3 levels.
A solution of Isovue 300 with 1 gm of Ancef was then drawn into a 10 cc syringe and without informing the patient of our injecting, we then proceeded to inject the disc spaces sequentially.
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Endovascular Brachytherapy
Excretory Urogram - IVP
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Facet Arthrogram & Injection
Fetal Anatomical Survey
Five views of the right knee.
Full-Field Digital Mammogram (FFDM) - 1
Full-Field Digital Mammogram (FFDM) - 2
HCT - Calcification of Basal Ganglia
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HDR Brachytherapy
Hepatobiliary Scan
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Intensity-Modulated Radiation Therapy
Intensity-Modulated Radiation Therapy Simulation
Intraarterial Particulate Administration
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Laparoscopic Cholecystectomy & Cholangiogram
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Lower Extremity Arterial Doppler
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Lumbar Discogram
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MRI Brain & Cerebral Angiogram
MRI Brain & T-spine - Demyelinating disease.
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MRI Breast - 1
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MRI C-spine
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MRI Elbow - 1
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Renal Ultrasound
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Slipped Capital Femoral Epiphysis (SCFE)
Stress Test Adenosine Myoview
Stress Test Bruce Protocol
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Keywords: radiology, back pain, c-arm, fluoroscopic projections, disc space, lumbar discogram, fluoroscopic, needle,