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Case: LungRADS S-Modifier - Osteoporosis

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Looking at this lung cancer screening CT through the lens

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of bone mineral density and compression fracture.

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We can see on the sagal view

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that the vertebral bodies are well preserved in height.

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The cortex is standing out a little bit from the vertebral

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body itself, looking on bone windows,

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but I don't wanna make a guess as

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to whether this is at the border of normal osteopenia

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or osteoporosis.

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So we're gonna put a cursor on the L one vertebral body,

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and here we have a density measurement of 92.

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This is below the a hundred ounce unit threshold

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that is recommended for calling osteoporosis.

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So I would put in my impression I would use the S modifier

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in lung rants added to my numerical category score

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for lung nodule findings.

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And in this S modifier, my impression would say

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that the S is due

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to severe diffuse bone demineralization consists

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with osteoporosis

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and I would recommend consideration of a DEXASCAN

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for further assessment.

Report

Faculty

Ella A. Kazerooni, MD, MS

Professor of Radiology, Cardiothoracic Division

University of Michigan

Tags

Oncologic Imaging

Metabolic

Lungs

Chest

CT