LUMBAR SPINE (L1-L4) = 0.755 g/cm2. T-score = -2.8. This value has INCREASED by 0.005 g/cm2 (0.7%) compared to the previous. LEFT FEMORAL NECK = 0.652 g/cm2. T-score = -2.6. LEFT FEMORAL NECK (FEMALE REFERENCE) = T-score = -2.6. LEFT TOTAL PROXIMAL FEMUR = 0.702 g/cm2. T-score = -2.4. This value has INCREASED by 0.002 g/cm2 (0.3%) compared to the previous.

Osteoporosis

Moderate, 10-20%

None

This patient has OSTEOPOROSIS with MODERATE fracture risk.

Lumbar Spine: NO statistically significant interval change. Left Total Proximal Femur: NO statistically significant interval change. Current management remains appropriate.

Follow-up suggested in 1-3 years.

In patients with moderate fracture risk, it would be appropriate to consider a lateral x-ray of the thoracic and lumbar spine from T4-L4 to assess for possible compression fractures. The presence of a compression fracture of more than 25% would place the patient into the HIGH RISK category for future fractures and could change management strategies. Consider pharmacologic therapy. Effective therapies are available in the form of bisphosphonates. Non-pharmacological and lifestyle measures are applicable to all patients. All patients should ensure an adequate intake of dietary calcium (1200 mg/d) and vitamin D (800-2000 IU daily).