Bone Density Report 10-12-12

DOCTORS IMAGING GROUP

1234 Main Street

Phone: (352) 555-1234                                                                               Fax (352) 331-8692

Bone Density Report

Name: Betes, Diane                                                            Sex: Female

Patient ID: 123456                                                   Ethnicity: White

Age: 67                                                                      Date of Birth: 03/03/1945

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Indication: THIS IS A BASELINE BONE DENSITY STUDY AT OUR FACILTY

Referring Physician: Banner, Elizabeth M.D.

Study: Bone densitometry was performed

Accession number: W1RS01

Bone density:

Region	Exam Date	BMD (g/cm2)	T-Score	Z-Score	Classification
AP Spine (L1-L4)	10/12/2012	0.983	-0.6	0.5	Normal
Lateral Spine (L2, L3, L4)	10/12/2012	0.607	-2.5	-0.8	Osteoporotic
Femoral Neck (Left)	10/12/2012	0.702	-1.3	-0.2	Osteopenic
Total Hip (Left)	10/12/2012	0.715	-1.9	-1.2	Osteopenic

Reported by: J.H. Kim M.D.

Name: Betes, Diane                                    Sex: Female                                     Height: 66.0 in Patient ID: 123456                                       Ethnicity: White                              Weight: 203 lbs DOB: March 3, 1945

Referring Physician: Banner, Elizabeth M.D.