6/5/2020
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Makati Medical Center. The results are as follows:
Examination of the sagittal imaging demonstrates normal alignment of the
vertebral bodies. The lumbar curvature is maintained. The conus medullaris
is seen to be normal and ends at T12-L1 level. No abnormal signal is seen
within the conus.
Focal T1W/T2W hyperintensity is noted in the anterosuperior corner of the
L3 vertebral body. There is also a Tl W/T2W hyperintense focus in the L5
vertebral body. Examination of the intervertebral disc reveals no signal
abnormality. No paraspinal or intraspinal mass noted.
T12-L1: No evidence of disc bulge or herniation.
LI-2: No evidence of disc bulge or herniation.
L2-3: No evidence of disc bulge or herniation.
L3-4: No evidence of disc bulge or herniation.
L4-5: No evidence of disc bulge or herniation.
L5-S1: Focal left of central disc protrusion mildly abutting the ipsilateral
traversing nerve root.
A 1.0 cm. cyst is noted in the superior pole of the left kidney.
IMPRESSION:
1. Degenerative osteitis, L3 vertebral body
2. L5 vertebral body hemangioma
3.
Focal left of central disc protrusion mildly abutting the ipsilateral
traversing nerve root, L5-S1.
4. Above findings are generally unchanged from previous study.
5. Left renal cyst[35]
On October 12, 2009, respondent was again examined by Dr. Raymundo, who
thereafter issued another Medical Report[36] stating as follows:
The patient is here today with his new MRI results showing a disk protrusion
at the level of L5-S1 with [sic] mildly abutting the ipsilateral traversing
nerve root. I have already given this patient a rating of grade 8 with a
moderate rigidity or % loss of motion or lifting power of the trunk.
If I were to re-evaluate this, the functional capacity of the patient is actually
more severe than this grading. However, the next grading which is grade 6
indicates or points to a fracture of the dorsal or lumbar spine which the
patient does not have. However, the severity of his symptom is almost equal
to a grade 6 with severe or total rigidity or total loss of lifting power of
heavy objects.
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