Michelle Smith

 
 Md. L. ZULL 0:09PM 
 NO. 2001 P. 4/ / 
 D.I.S. Slidell 
 DIS 
 1310 Gause Blvd. 
 Slidell, LA 75158 
 P: 491-670-1591 F: (504) 851-5514 
 DIAGNOSTIC IMAGING SERVICES 
 PATIENT NAME: 
 Michelle Smith 
 Ref. Physician: 
 Dr James Dougherty, MD 
 Patient ID: CIS251346 
 Home Phone: (551) 446-5165 
 DATE OF BIRTH: 15 December 1999
 Page 1 of 2 
 service date: 14 May 2020
 STUDY 
 MRI, Cervical Spine s/ Contrast 
 CLINICAL INDICATION 
 Neck pain. Radicular pain extends into both upper extremities. The symptoms have been present 
 since a motor vehicle collision 03/08/2022. 
 COMPARISON 
 No relevant imaging examinations are available for review. 
