Title: December 2018 – Across My Desk

Submitted By: Lawrence G. Jankowski, CBDT
Illinois Bone and Joint Institute. Morton Grove, Illinois.

Editor’s Note:
Occasionally we all see reports from other facilities (or even our own?) that leave much to be desired. This following example that came across my desk was one of the more problematic and I thought it would be a good way to showcase some of the reasons behind the ISCD Official Positions on the minimum requirements of a bone density report.

Patient History:
A 71-year-old Asian female, 62 inches and 120 pounds (157 cm, and 58 kg) were referred for osteoporosis screening. Based on the information in the DXA report, her primary care physician referred her to a rheumatologist for osteoporosis consultation. A redacted copy of that report is presented below. (Figure 1). She had no other risk factors for osteoporosis or fractures other than her sex, post-menopausal status, and age.


Figure 1: Redacted copy of DXA report. Personal and facility identification has been blacked out.

Questions:

    1. The report contains numerous inconsistencies from ISCD official positions. How many of them can you identify? Because of the necessary redaction of protected health information, you may assume all the demographic information in the report was entered correctly.

(Bonus Question) While not mentioned in the report, can you tell what brand of the scanner was used?

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