4th Qtr 2016 Physician RBM (Ortho) Case Study#7

44yom-MRI Left Shoulder wo (73221)

ABHKY MCD REGION8

Fax /ACDS R/T: L shoulder pain x unspecified duration Reason: L shoulder pain
FOV: (07/22/2015, 12/10/2015, 01/26/2016, 05/03/2016, 06/21/2016, 08/23/2016– per case #: 102221083) LOV: 10/18/2016
PE: Recent PE not provided
PMH: None provided hx. of Ca., No hx shoulder injury or shoulder surgery provided
TX: (rest, ice, compression, elevation, Percocet started 08/10/2016, Zanaflex, Robaxin and Gabapentin 07/13/2016 – per case #: 102221083), PT, Shoulder injections x unspecified duration
Prior Imaging: None provided

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