Bone density, two years off the alendronate. Spine -2.3, hip -1.9. Stable. Stay…

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6000 Arbor Bluff Parkway
Madison, WI 53719

Arbor Bluff Imaging (608) 555-0130
arborbluffhealth.example

Bone Density (DXA) Report
Patient: Margaret A. Ostrander

Date of birth: 04/19/1955

Exam date: August 12, 2025

Referring physician: Sunita Raghavan, MD

History: Osteoporosis diagnosed April 2018. Alendronate 70 mg weekly from May 2018 to
August 2023.
Fracture of the left distal radius, February 2019, from a fall on ice. Mother had a hip fracture at
81.

Site Bone density (g/cm²) T-score Change since July 2023

Lumbar spine, L1 to L4 0.812 -2.3 -0.8 %, not significant

Left femoral neck 0.701 -1.9 no change

Left total hip 0.798 -1.6 +0.3 %, not significant

Ten-year fracture risk (FRAX)

Risk

Major osteoporotic fracture 14 %

Hip fracture 2.6 %

Impression
Bone density is stable two years after stopping alendronate. The diagnosis remains
osteoporosis, because the lowest T-score on record is -2.6 (lumbar spine, April 2018).

Recommendation
Remain off treatment. Repeat the scan in 24 months, August 2027. Treatment should be
restarted if the lumbar spine T-score falls to -2.5 or lower, if the hip fracture risk reaches 3 %,
or after any new fracture.

Read by Colin Abernethy-Ruiz, MD, Radiology

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Record

Bone density, two years off the alendronate. Spine -2.3, hip -1.9. Stable. Stay… Health Record · saved Aug 12, 2025

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Value	Now
me.date_of_birth	1955-04-19
hr-peg-2025-08-dexa.date	2025-08-12

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record: hr-peg-2025-08-dexa
template: document
org:
  name: Arbor Bluff Imaging
  lines:
  - 6000 Arbor Bluff Parkway
  - Madison, WI 53719
  phone: '6085550130'
  web: arborbluffhealth.example
  color: '#1f6f5c'
title: Bone Density (DXA) Report
body: '**Patient:** Margaret A. Ostrander


  **Date of birth:** {{me.date_of_birth|mdy}}


  **Exam date:** {{hr-peg-2025-08-dexa.date}}


  **Referring physician:** Sunita Raghavan, MD


  **History:** Osteoporosis diagnosed April 2018. Alendronate 70 mg weekly from May 2018 to August 2023.

  Fracture of the left distal radius, February 2019, from a fall on ice. Mother had a hip fracture at
  81.


  | Site | Bone density (g/cm²) | T-score | Change since July 2023 |

  |---|---|---|---|

  | Lumbar spine, L1 to L4 | 0.812 | -2.3 | -0.8 %, not significant |

  | Left femoral neck | 0.701 | -1.9 | no change |

  | Left total hip | 0.798 | -1.6 | +0.3 %, not significant |


  ## Ten-year fracture risk (FRAX)


  | | Risk |

  |---|---|

  | Major osteoporotic fracture | 14 % |

  | Hip fracture | 2.6 % |


  ## Impression


  Bone density is stable two years after stopping alendronate. The diagnosis remains osteoporosis, because
  the

  lowest T-score on record is -2.6 (lumbar spine, April 2018).


  ## Recommendation


  Remain off treatment. Repeat the scan in 24 months, August 2027. Treatment should be restarted if the
  lumbar

  spine T-score falls to -2.5 or lower, if the hip fracture risk reaches 3 %, or after any new fracture.


  Read by Colin Abernethy-Ruiz, MD, Radiology

  '