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Conthdential Facsimile for tu pC orestprent only. Pac-similé cf dentrel A l’intention du desrinatar: If weceived by error Please ROY and notify Si recu par erreur SVP DETRUIRE et aviser The OTTAWA HOSPITAL (913) 738-7100 ext. 82242 L‘HGPITAL d/ OTTAWA iuL3} 738-7106 ext. #2242 RIVEE IDE CAMPUS 1967 Riverside Drive Ottawa KLY TNS CAMPUS RIVERSIDE 1367 Riverside Drive Ottawa K1Y 7W9 DEVAKIMENT SF DIAGNOSTIC IMAGING DEPARTEMENT D’ IMAGERLE RIAGNOSTIQUE OH1004 609-2 *** RIVERSIDE CAMPUS *** 8G SQ WARRINER LOCATION: G/P CTMAIN MARION 04/12/1941 FE CASE NO.: 200252160565 280 ROCHESTER 203 ORCC NO.: - OTTAWA ONT KIR 784 FORM NO.: 854872 H: (613)565-1912 wW: (613)111-1111 DISCHARGE: / f DISCHARGE STATUS: ORD.PHYS: DR BOWERS SOMERSET WEST COMM HEALTH CEN. DR.DR BOWERS 55 ECCLES ST OTTAWA ONT Kin 683 ORDER(S): 1, ’ EXAM DATE: 05/10/02 TIME: 09:20 CT LUMBAR SPINE Contiguous axial images were performed from 13 to S1, without the use of intravenous contrast. Soft tissue and bone windows were obtained for interpretation. At L3-4 there is a disc ‘bulge with no focal herniation. No evidence of Spinal stenosis. Facet joints are normal. At L4-5 there is a Grade I anterolisthesis. No spondylolysis. There are marked OA changes of the facet joints. Mild degree of Spinal stenosis. Suspect also a small right lateral disc protrusion. There is lateral recess narrowing on the right side with possible impingement of the right LS nerve root. At L5-Si there is a disc bulge with no focal herniation. Mild to moderate narrewing Of the right neural foramina. The left neural foramina is widely patent. No disc herniation or spinal stenosis. There are marked OA changes of the left and mild OA changes of the right facet joints. Vertebral body height is well maintained. “a IMPRESSICN Grav I anterolisthesis of L4 on L5 with no evicence of spondylolysis. There is spinal stenosis at L4-5. There is possible impingement of the rignt LS nerve root at the lateral recess level. There are marked OA changes of the L4-5 facet joints. If clinically indicated an MRI examination may be performed. . : s F. . TRANSCRIBED BY: LGB REPORTED 5yY: V 09/10/02 13:04 FOR: a E SIMANTIRAKIS COLLECTED: **VERIFIED BY REPORTING PHYSICIAN** /. f PAGE 1 OF 1