Crl dating table
Patient is s/p open reduction internal fixation (ORIF) with [fixation plate and screws or fixation hardware] providing [appropriate/near anatomic] alignment. 100% displacement/translation of distal fx fragment] [mm foreshortening or bayonette apposition/overriding] [distracted] [with interposed butterfly fragment] [fracture-dislocation] [articular step-off or incongruity].
Conception occurs approximately 14 - 16 days after the first day of your last menstrual period (LMP).Images show complete compressibility of the deep veins and no evidence of thrombus.Spectral waveforms of common femoral and popliteal veins show normal respiratory variation/phasicity, and response to augmentation.Subsequently, [60-80mg Kenalog along w/ 1-1.5cc of 2% Xylocaine] [2cc (20mg) Hyalgan] [xcc of 1/200 diluted Gad (Magnevist) mixture (also containing 3cc of 2% Xylocaine)] was injected.[Non-specific diffuse homogenously increased echotexture of liver resulting in decreased visualization of portal triads which can be seen in setting of diffuse hepatocellular disease most commonly fatty infiltration.]xxcm [location] [ill-defined/well-circ] [ecogenicity][composition i.e.predominantly solid/cystic or mixed solid/cystic] nodule with [microcalcifications][no significant or minimal internal flow]Under direct ultrasound guidance, using [22-25]g needle, fine needle aspirations were performed of [size][left/right][sup/mid/inf] thyroid nodule.Needle placement was confirmed with passive flow of clear CSF.fluoro-guidance, a 22G needle was directed into [hip/shoulder] joint.
A small amount of non-ionic contrast (Conray) was used to confirm needle placement.
Opening pressure was measured to be cm of water.
Approx cc of clear CSF was passively obtained and sent to lab for analysis. TECHNIQUE: Risks and potential complications were explained and a informed was written consent.
Transitional anatomy at lumbosacral junction with [lumbarized S1] [sacralized L5] [partially sacralized L5 with pseudoarthrosis or left/right L5 transverse process with adjacent S1 segment] which can be symptomatic due to altered biomechanics.[Straightening of lumbar curvature may be due to muscle spasm/strain].
[Mild/mod/sig] [multilevel] degenerative changes with osteophytosis, end-plate sclerosis and schmorl’s node formation worst at [level] along wtih [mild/mod/sig] disc height loss.
Overall appearance is unchanged from prior studies with no focal lytic lesion or absence of sclerotic rim at bone-cement interface to suggest recurrence.