Bone density report samples:
BONE DENSITY REPORT SAMPLE #1
January 2, 2011
Dear Dr. Harry:
On January 2, 2011, we performed a DEXA bone mineral density test on your patient, Debra Jones. The indications for the study were corticosteroid use. The scan was performed utilizing a Hologic QDR-4500W machine. The technical quality of the study was good. The regions of interest of the scan were the lumbar spine and the left hip.
In brief, the important findings include the following: the total bone mineral density, the corresponding T-score and the corresponding Z-score.
Lumbar Spine | BMD: T score: Z score: |
1.019 gm/cm2 -0.7 0.2 |
Total Left Hip | BMD: T score: Z score: |
0.981 gm/cm2 -0.3 0.3 |
Left Femoral Neck | BMD: T score: Z score: |
0.767 gm/cm2 -1.2 -1.01 |
The T-Score compares to the patient’s bone mineral density (BMD) to the peak bone mass of young normal female; the lower the number, the greater the loss of bone.
INTERPRETATION OF THE INITIAL BONE MINERAL DENSITY TEST:
1. Bone mass measured by DEXA of the left femoral neck is slightly below expected range for age per the International Society of Clinical Densitometry.
RECOMMENDATIONS:
1. A healthy lifestyle, including smoking cessation, reduction of alcohol and caffeine intake.
2. Positive calcium balance with daily calcium doses of 1000-1500 mg daily and vitamin D intake of 800-1000 IU daily.
3. Given that this patient would be on long-term corticosteroids for polymyalgia rheumatica, it is reasonable to start a prophylactic bisphosphonate.
If you have any questions, please do not hesitate to telephone me.
Sincerely,
David Jones, M.D.
BONE DENSITY REPORT SAMPLE #2
DEXA BONE DENSITY SCAN:
FINDINGS: Bone mineral density of L1 through L4 is 1.351 gm/cm2 with a T-score of 1.1 and a Z-score of 2.0. In comparison to the prior examination of 10/25/06, there has been a 1.3% increase in bone mineral density of L1 through L4.
Bone mineral density of the right femoral neck is 0.821 gm/cm2 with a T-score of -1.9 and a Z-score of -0.2. Bone mineral density of the total right hip is 0.905 gm/cm2 with a T-score of -1.4 and a Z-score of -0.1.
Bone mineral density of the left femoral neck is 0.860 gm/cm2 with a T-score of -1.6 and a Z-score of 0.1. Bone mineral density of the total left hip is 0.933 gm/cm2 with a T-score of -1.2 and a Z-score of 0.
In comparison to the prior examination of 10/25/06, there has been an increase in bone mineral density of the total hips of 0.3%.
IMPRESSION:
THIS PATIENT FALLS WITHIN THE RANGE OF OSTEOPENIA.
IN COMPARISON TO THE PRIOR EXAMINATION OF 10/25/08, THERE HAS BEEN AN INCREASE IN BONE MINERAL DENSITY OF L1 THROUGH L4 OF 1.3% AND AN INCREASE IN BONE MINERAL DENSITY OF THE TOTAL HIPS OF 0.3%
BONE DENSITY EVALUATION REPORT SAMPLE #3
DEXA BONE DENSITY SCAN:
A DEXA scan was performed on the left hip and AP of the lumbar spine. There is no DEXA scan for comparison.
Total BMD of the left hip is 0.841 gm/cm2, the T-score 0.8 representing 89% of normal compared to young adults. All T-score determinations in the femur region are within normal limits.
Total BMD of the lumbar spine is 1.090 gm per cm2, the T-score 0.4 representing 104% of normal compared to young adults. Again, there is no evidence of osteopenia or osteoporosis at any tested site in the lumbar spine.
IMPRESSION:
Clinical correlation of this data is required but would suggest that Marie has relatively good bone mass.