HEART

My heart has more than usual arrhythmia’s but is in good physical shape. I had a heart cath and cardiac morphology MRI in August 2019 due to SVT detected by a halter monitor and they both showed it was in good shape. I have had a halter monitor every year to keep an eye on it. Below are the conditions that effect it:

  • Ankylosing Spondylitis
  • Autonomic Neuropathy
  • Restrictive Lung Disease

LUNGS

I had pulmonary cardiac study in 2019 that showed that I had only 70% of my lung capacity left. I have also had a small node in my left lobe that is not though to be a threat, and has been thought benign on my last few CT scans. The reduced lung capacity is thought to be due to the Ankylosing Spondylitis fusing my ribs to my spine. Below are the conditions that effect it:

  • Restrictive Lung Disease​
  • Autonomic Neuropathy
  • Ankylosing Spondylitis

NERVOUS SYSTEM

I was in the ER in 2020 and had Spinal Stenosis and later was diagnosed with Autonomic Neuropathy. I get pain in both arms to my palm and in my chest, in both cases it is focused on my left side and has recently been kept at bay due to Gabapentin and Medical Marijuana. Below are the conditions that effect it:

  • Autonomic Neuropathy
  • Cervical Headaches
  • Scoliosis
  • Spinal Stenosis

BONES

I was diagnosed with Ankylosing Spondylitis in 2019. Most of my doctors that is where all my other problems stem from. I have not had any bones fuse yet but do have Scoliosis where my cervical meets my thoracic.My lungs have a problem with expanding to full size due to the stiffness in my chest and this has led to the Restrictive Lung Disease with only 70% lung capacity. Below are the conditions that effect it:

  • Ankylosing Spondylitis
  • Scoliosis
  • Spinal Stenosis
  • Restrictive Lung Disease (due to ribs fusing to the spine)

GI TRACT

I have had my gallbladder removed in 2019 and that is when my problems started. My bowel functions went back to normal within a few months but it has always seemed as if whenever I have a flare or eat really bad my gut is thrown off for a while and vice versa. I have since had MRI’s, ultrasounds, and too many blood tests that show it is normal. Below are the conditions that effect it:

  • Ankylosing Spondylitis
  • Autonomic Neuropathy
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Patient Name: GEORGE GIDEON
Date of Birth: 08/08/1980
Result Type:
MRI Brain w/ + w/o Contrast
Result Date:
December 03, 2020 18:30 EST
Result Status:
Auth (Verified)
Result Title:
Report
Ordered by:
NAZARIO-LOPEZ MD, BERNADETTE on November 20, 2020 09:56 EST
Performed By:
Devito CR-TECH,ARRT, Angelica M on December 03, 2020 20:40 EST
Verified by:
DALAL MD, KSHITIJ A on December 04, 2020 14:07 EST
Encounter info:
FR301214775, FRI, FRi, 12/3/2020 – 12/3/2020
 
* Final Report *
 
MRI Brain w/ + w/o Contrast
Reason For Exam
Transient paralysis
 
Report
EXAM: MRI BRAIN WITH AND WITHOUT CONTRAST INDICATION: Evaluation for transient paralysis COMPARISON: Brain MRI from 1/31/2020 TECHNIQUE: Multiplanar, multisequence imaging of the brain before and after the intravenous administration of 13 mL of Dotarem. FINDINGS: EXTRAAXIAL SPACE: Ventricles appear age appropriate. No midline shift. The basal cisterns are patent, with no downward herniation. No fluid collections, hemorrhage, mass lesion, focal signal abnormality or abnormal enhancement. Signal voids of basilar artery, internal carotid arteries and major venous sinuses are maintained. The sella and pituitary are within normal limits. CEREBRUM: No restricted diffusion or hemorrhage identified. Superficial and deep cortical structures are well formed. Few scattered punctate frontal and parietal subcortical and deep white matter T2 hyperintensities are demonstrated, nonspecific but could be related to conditions such as migrainous angiopathy. No abnormal intraparenchymal masslike enhancing lesion or acute intraparenchymal hemorrhage is identified.. CEREBELLUM: Cerebellar hemispheres and vermis are well formed without mass lesion, signal abnormality, or abnormal enhancement. No cerebellar tonsillar ectopia greater than 5 mm identified. BRAINSTEM: Midbrain, pons, and medulla are well formed without mass, signal abnormality, or abnormal enhancement. SKULL/EXTRACRANIAL STRUCTURES: Paranasal sinuses: Visualized portions are clear. Mastoids/middle ears: Visualized portions are clear. Remainder: Visualized orbits are within normal limits. The scalp and calvaria appear unremarkable.
 
IMPRESSION:
1. Negative for acute infarction, acute intracranial hemorrhage or enhancing intraparenchymal masslike lesion. No acute intracranial abnormality is appreciated.
2.Few scattered punctate frontal and parietal subcortical and deep white matter T2 hyperintensities are demonstrated, nonspecific but could be related to conditions such as migrainous angiopathy.
 
Dictating Physician: Kshitij Dalal, MD Dictated on 12/4/2020 2:03 PM Signed by: Kshitij Dalal, MD Location OSRR10 WSN:OSRR10
 
Signature Line
***Final Report*** Transcribed By: KAD 12/04/20 2:03 Signed and Verified By: DALAL MD, KSHITIJ A 12/04/20 2:07