Courtney Murray

 
 25 May 2020 10:13:54 
 Oklahoma Spine 4058789447 
 2/47  
 Christopher Hernandez, M.D., F.A.C.R. 
 RE: 
 James Parry 
 DOB: 21 February 2004 
 DOS: 15 July 2021
 X-RAY REPORT: 
 X-rays of the cervical spine. Two views were obtained. Mild DDD at C4-5 through C6-7 with 
 small bone spurs. Artifact due to dental work. 
 X-rays of the thoracic spine were obtained in two views.  
 X-rays of the Jumbar spine were obtained in two views. Moderate-to-severe DDD at T12-L1. L1- 
 2. Severe DDD L2-3. Mild-to-muderate DDD L3-4 through L5-S1 with small bone spur 
 anteriorly and laterally. getting worse since 12/2021. Mild ankylosing right L1 and 1.2. 
 Questionable bilateral sacroilitis Left femoral artery graft. not new.  
 
 X-rays of the both knees were obtained in two views and weightbearing. Unremarkable 
 X-rays of the both feet and ankles were obtained in three views and weightbearing Mild primary 
 OA of the bilateral first MTP joint, new. Left hammertoes. Bilateral plantar heel spur. Ankles 
 are unremarkable Osteopema. 
 The patient was explained all the findings. abnormalities and changes of the x-rays. which he 
 voiced understanding. 
 Thank you for the consultation. 
 for 
 Christopher Hernandez, M.D., F.A.C.R. 

