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[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.
TECHNIQUE: Osseous survey includes [AP/lateral skull, PA/lateral chest along with oblique rib series, AP/lateral cervical/thoracic/lumbar spine, AP pelvis, AP/lateral humeri/forearms, and AP/lateral femurs/tibia/fibula].characterized by [small/bulky/exuberant] periarticular osteophyte formation, subchondral sclerosis, [prominent] geodes, [mild/mod/severe] joint space narrowing/loss [with bone-on bone appearance], and [articular surface remodeling]. FINDINGS: [Total][unipolar/bipolar hemi-][unicompartment hemi-][hip/knee] [cemented] arthroplasty hardware stable in alignment and configuration without abnormal lucency at [hardware-osseous] [cement-hardware] interface.2mm] [Tilting or cranial/medial migration of acet component] [abnormal lateral inclination of acet component nl 30-50deg] [varus/valgus positioning of fem stem] [fem head component eccentrically located within acet cup] [Polyethelene liner/spacer of acetabulum: wear or dislocation with eccentric position of femoral head] [subsidence (sinking) of component]Psoriasis=There is asymmetric predominantly distal involvement with joint space loss without osteopenia, marginal erosions (with mickey-mouse ears), pencil-in-cup deformities, ankylosis, acro-osteolysis, ivory phalanx, and fluffy periostitis.
Limited UGI with water-soluble contrast shows prompt contrast transit through the band without pooling within gastric pouch of distal esopahgus. Stomal diameter is mm without evidence for stomal stenosis.[Gastric pouch is not seen given unadjusted band.] No herniation of distal stomach through the band to suggest [anterior/posterior] prolapsed or symmetric pouch dilation or gastric erosion. TECHNIQUE: Risks and potential complications were explained and a informed was written consent.
Patient was placed on prone position on fluoroscopy table. 1% Lidocaine was used for Local anesthesia.[ L2-3 or L3-4] interspace was localized.
Modified enteroclysis was performed using thin barium and air (for double contrast imaging of small bowel) via an 8fr feeding tube placed under fluoroscopic guidance with tip [near/distal to] ligament of Trietz.
FINDINGS: Scout image shows gastric lap band in [proper orientation] with [normal] phi angle.
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