Mark Olson
 
 
 V 
 VITRO MOLECULAR 
 LABORATORIES 
 www.vitromolecular.com 
 Patient Name: Mark Olson 
 Physician: Robert Jacobson, MD 
 Accession #: S22-04715 
 Sex: Male 
 Specialty Group: The Gables Surgical Center 
 Collected: May 13, 2016 
 DOB: Apr 29, 1987 (69) 
 Received: May 13, 2016 
 Reference #: S22-04715 
 CC: 
 Reported: Mar 28, 2016 
 Surgical Pathology Report 
 Clinical History 
 Previous Vitro pathology report: 
 *S21-12983, Aug 27, 2017 A)Lumbar disc, L4-5; discectomy:Cartilage and disc material with degenerative changes; 
 *S21-15703, Oct 10, 2023 A)Disc, C4-C5, discectomy:0 Cartilage with degenerative changes 
 DIAGNOSIS 
 A. DISC L4-5: 
 - Fibrocartilaginous tissue with degenerative changes 
 - Negative for atypia or malignancy in this sample 
 Images 
 Gross Description 
 A. Received in formalin there are multiple white fibrocartilaginous tissue fragments measuring 2.5 X 2.0 X 0.3 cm in aggregate. Specimen is submitted in 
 toto in one green cassette. IG/rms 
 Electronic Signature Hadi Yaziji, M.D. 
 CPT Code(s): 88304 (1) 
 *** 
 END OF REPORT 
 E-MAILED 
 Feb 20, 2017 
 Vitro Molecular Laboratories 
 8700 West Flagler Street, Suite 100, Miami, FL 33174 
 Tel: 305-267-7979 
 Fax: 786-513-0175 
 CLIA: 10D1055514 
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