Preview
FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018
NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020
Scott A. Springer, D.O. D.A.B.R.
Radiology
PO Box 697, Commack, NY 11725
March 6, 2020
jG IME Services, Inc.
1 Brush Hill Road, Suite 205
New Fairfield, CT 06812
Claimant: Jose Fernandez
DOB: 1965
Claim Number: 1030761-3
IME Number: AMTI-2020-471
Date of Accident: 6/15/2018
To Whom ItMay Concern:
At your request, a lumbar spine MRI examination performed on Jose Fernandez was reviewed.
The examination was performed at Dynamic Medical Imaging, PC on 7/27/2018. This is one
month and 12 days following the incident of 6/15/2018.
LUMBAR SPINE - MRI
A lumbar spine MRI examination was reviewed. Sagittal and axial images were provided.
Multiple pulse sequences were obtained.
There is straightening of the normal lumbar lordosis, which is likelypositional and related to the
patient's comfort level during the examination. There is no fracture, subluxation or paravertebral
soft tissue swelling. The vertebral bodies maintain normal height and signal. There is a probable
hemangioma in the T12, L2, L3 and L4 vertebral bodies, which is a non-traumatic finding. The
intervertebral discs maintain normal heights and signals.
L1-L2 is unremarkable. L2-L3 demonstrates a mild disc bulge with mild mass effect on the
anterior thecal sac. The neuroforamen are patent. L3-L4 demonstrates a mild subligamentous
disc bulge without mass effect on the anterior thecal sac. The neuroforamen are patent. L4-L5
demonstrates a mild disc bulge with mild mass effect on the anterior thecal sac. The
neuroforamen are patent. L5-S1 demonstrates a mild disc bulge with mild mass effect on the
anterior thecal sac. The neuroforamen are patent. Disc bulging has no traumatic basis. Itis
degenerative in origin, related to ligameñtous laxity and weakening of the outer ligamentous
fibers.
The conus medullaris terminates at approximately T12-L1. The cauda equina is unremarkable.
The paraspinal musculature is intact.
FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018
NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020
*
Claimant: Jose Fernandez
a DOB: 965
Page 2 of 2
IMPRESSIONS:
> Straightening of the normal lambar lordosis.
Probable liemângioma in the T12, L2, L3 and L4 vêrtchral bodies.
Disc bulges, L2-L3, L3-L4, L4-LS and L5-S1.
No fracture, subluxation or disc herniation.
No posttr9==atic changes causally related to the 6/15/2018 incident.
I,Scott A. Springer, D.O., D.A.B.R., being a doctor duly licensed to practice medicine in the
State of New York, pursuant to Civil Practice Law and Rules section 2106, hereby declare under
penalties of perjury, that the information contained within this document was prepared and is the
work product of the undersigned and is true.
Sincerely,
Scott A. Springer, D.O., D.A.B.R.
License #208737
/qic
FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018
NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020
Scott A. Springer, D.O. D.A.B.R.
Radiology
PO Box 697, Commack, NY 11725
March 6, 2020
IME Services, Inc.
1 Brush Hill Road, Suite 205
New Fairfield, CT 06812
Claimant: Jose Fernandez
DOB: 1965
Claim Number: 1030761-3
IME Number: AMTI-2020-471
Date of Accident: 6/15/2018
To Whom ItMay Concern:
At your request, a right knee MRI examination performed on Jose Fernandez was reviewed. The
examination was performed at Dynamic Medical Imaging, PC on 7/19/2018. This is one month
and four days following the incident of 6/15/2018.
RIGHT KNEE - MRI
A rightknee MRI exa_mination was submitted for review. Sagittal, axial, and coronal images
were provided. Multiple pulse sequences were obtained.
There is no fracture or dislocation. The distal quadriceps and patellar tendons are intact. The
anterior cruciate and posterior cruciate ligaments are intact. The medial collateral ligament and
lateralcollateral ligament complexes are intact. There is no bone marrow edema. The anterior
horns, bodies and posterior horns of the medial and lateral menisci are intact. There is no soft
tissue swelling. The surrounding musculature is intact. There is no popliteal cyst.
IMPRESSIONS:
> No fracture, dislocation or internal derañgement of the knee.
> No posttraumatic changes causally related to the 6/15/2018 incident.
I,Scott A. Springer, D.O., D.A.B.R., being a doctor duly licensed to practice medicine in the
State of New York, pursuant to Civil Practice Law and Rules section 2106, hereby declare under
penalties of perjury, that the information contained within this document was prepared and is the
work product of the undersigned and is true.
Sincerely,
Scott A. Springer, D.O., D.A.B.R.
License #208737
\qic
FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018
NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020
Scott A. Springer, D.O. D.A.B.R.
Radiology
PO Box 697, Commack, NY 11725
March 6, 2020
IME Services, Inc.
1 Brush Hill Road, Suite 205
New Fairfield, CT 06812
Claimant: Jose Fernandez
DOB: 1965
Claim Number: 1030761-3
IME Number: AMTI-2020-471
Date of Accident: 6/15/2018
To Whom ItMay Concern:
At your request, a right ankle MRI examination performed on Jose Fernandez was reviewed. The
examination was performed at Dynamic Medical Imaging, PC on 7/19/2018. This is one month
and four days following the incident of 6/15/2018.
RIGHT ANKLE - MRI
A right ankle MRI examination was submitted for review. Sagittal, axial, and coronal images
were provided. Multiple pulse sequences were obtained.
There is no fracture or dislocation. There is no bone marrow edema. There is no soft tissue
swelling. The surrounding musculature is intact. There is an ankle joint effusion, which is a
nonspecific transient process that will resolve without sequelae. The subtalar joint is
unremarkable. The ankle mortise is unremarkable. The Achilles tendon is intact. The plantar
fascia is intact. There is a small spur at theinsertion of the Achilles tendon and origin of the
plantar fascia, which is a chronic bony productive change that could not have occurred in the
time interval between the incident and the examination. There is mild pes planus, which is not
related to trauma. Fluid distends the tendon sheath of the flexor hallucis longus compatible with
tendinosis, which is a chronic finding related to repetitive motion that could not have occurred in
the time interval between the incident and the examination. There is no tear. The remainder of
the flexor and extensor tendons are intact. The peroneal longus and brevis tendons are intact.
The ligaments about the ankle including the anterior and posterior tibiofibular ligaments,
talofibular ligament, deltoid and spring ligameñts are all intact. The surrounding musculature is
intact.
FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018
NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020
Claimant: Jose Fernandez
DOB: 1965
Page 2 of 2
e
IMPRESSIONS:
> Ankle joint effusion.
Small spur at the insertion of the Achilles tendon and origin of the plantar fascia.
Mild pes planus.
Tendinosis, flexor hallucis longus.
No fracture, dislocation or effusion.
No posttraüreatic changes causally related to the 6/15/2018 incident
I,Scott A. Springer, D.O., D.A.B.R., being a doctor duly licensed to practice medicine in the
State of New York, pursuant to Civil Practice Law and Rules section 2106, hereby declare under
penalties of perjury, that the information contained within thisdocument was prepared and is the
work product of the undersigned and is true.
Sincerely,
Scott A. Springer, D.O., D.A.B.R.
License #208737
\qic
FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018
NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020
Scott A. Springer, D.O. D.A.B.R.
Radiology
PO Box 697, Commack, NY 11725
March 6, 2020
IME Services, Inc.
1 Brush Hill Road, Suite 205
New Fairfield, CT 06812
Claimant: Jose Fernandez
DOB: 965
Claim Number: 1030761-3
IME Number: AMTI-2020-471
Date of Accident: 6/15/2018
To Whom ItMay Concern:
At your request, a lumbar spine MRI examination performed on Jose Fernandez was reviewed.
The examination was performed at Stand Up MRI of Brooklyn on 12/21/2018. This is six
months and six days following the incident of 6/15/2018.
LUMBAR SPINE - MRI
A lumbar spine MRI examination was reviewed. Sagittal and axial images were provided.
Multiple pulse sequences were obtained. This is compared with the lumbar spine MRI
examination of 7/27/2018.
There is straightening of the normal lumbar lordosis, which is likely positional and related to the
patient's comfort level during the examin ation. There is no fracture, subluxation or paravertebral
softtissue swelling. The vertebral bodies maintain normal height and signal. There is a probable
hemangioma in the T12, L2, L3 and L4 vertebral bodies, which is a non-traumatic finding. The
intervertebral discs maintain normal heights and signals.
L1-L2 is unremarkable. L2-L3 demonstrates a mild disc bulge with mild mass effect on the
anterior thecal sac. The neuroforamen are patent. L3-L4 demonstrates a mild subligamentous
disc bulge without mass effect on the anterior thecal sac. The neuroforamen are patent. L4-L5
demonstrates a mild disc bulge with mild mass effect on the anterior thecal sac. The
neuroforamen are patent. L5-S1 demonstrates a mild disc bulge with mild mass effect on the
anterior thecal sac. The neuroforamen are patent. Disc bulging has no traumatic basis. Itis
degcñcrative in origin, related to ligamentous laxity and weakening of the outer ligamentous
fibers.
The conus medullaris terminates at approximately T12-L1. The cauda equina is unremarkable.
The paraspinal musculature is intact.
The above findings were previously seen on the lumbar spine MRI of 7/27/2018.
FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018
NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020
Claimant: Jose Fernandez
DOB: l965
Page 2 of 2
IMPRESSIONS:
u1
Straightening of the normal lumbar lordosis.
Probable hemar.gic=a in the T12, L2, L3 and L4 vertebral bodies.
Disc bulges, L2-L3, L3-L4, L4-L5 and L5-S1.
clb > No fracture, subluxation or disc herniation.
No posttraumatic charages causally related to the 6/15/2018 incident.
cm
I,Scott A. Springer, D.O., D.A.B.R., being a doctor duly licensed to practice medicine in the
State of New York, pursuant to Civil Practice Law and Rules section 2106, hereby declare under
penalties of perjury, that the information contained within this document was prepared and is the
work product of the undersigned and is true.
Sincerely,
Scott A. Springer, D.O., D.A.B.R.
License #208737
/qic
Preview
FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018 NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020 Scott A. Springer, D.O. D.A.B.R. Radiology PO Box 697, Commack, NY 11725 March 6, 2020 jG IME Services, Inc. 1 Brush Hill Road, Suite 205 New Fairfield, CT 06812 Claimant: Jose Fernandez DOB: 1965 Claim Number: 1030761-3 IME Number: AMTI-2020-471 Date of Accident: 6/15/2018 To Whom ItMay Concern: At your request, a lumbar spine MRI examination performed on Jose Fernandez was reviewed. The examination was performed at Dynamic Medical Imaging, PC on 7/27/2018. This is one month and 12 days following the incident of 6/15/2018. LUMBAR SPINE - MRI A lumbar spine MRI examination was reviewed. Sagittal and axial images were provided. Multiple pulse sequences were obtained. There is straightening of the normal lumbar lordosis, which is likelypositional and related to the patient's comfort level during the examination. There is no fracture, subluxation or paravertebral soft tissue swelling. The vertebral bodies maintain normal height and signal. There is a probable hemangioma in the T12, L2, L3 and L4 vertebral bodies, which is a non-traumatic finding. The intervertebral discs maintain normal heights and signals. L1-L2 is unremarkable. L2-L3 demonstrates a mild disc bulge with mild mass effect on the anterior thecal sac. The neuroforamen are patent. L3-L4 demonstrates a mild subligamentous disc bulge without mass effect on the anterior thecal sac. The neuroforamen are patent. L4-L5 demonstrates a mild disc bulge with mild mass effect on the anterior thecal sac. The neuroforamen are patent. L5-S1 demonstrates a mild disc bulge with mild mass effect on the anterior thecal sac. The neuroforamen are patent. Disc bulging has no traumatic basis. Itis degenerative in origin, related to ligameñtous laxity and weakening of the outer ligamentous fibers. The conus medullaris terminates at approximately T12-L1. The cauda equina is unremarkable. The paraspinal musculature is intact. FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018 NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020 * Claimant: Jose Fernandez a DOB: 965 Page 2 of 2 IMPRESSIONS: > Straightening of the normal lambar lordosis. Probable liemângioma in the T12, L2, L3 and L4 vêrtchral bodies. Disc bulges, L2-L3, L3-L4, L4-LS and L5-S1. No fracture, subluxation or disc herniation. No posttr9==atic changes causally related to the 6/15/2018 incident. I,Scott A. Springer, D.O., D.A.B.R., being a doctor duly licensed to practice medicine in the State of New York, pursuant to Civil Practice Law and Rules section 2106, hereby declare under penalties of perjury, that the information contained within this document was prepared and is the work product of the undersigned and is true. Sincerely, Scott A. Springer, D.O., D.A.B.R. License #208737 /qic FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018 NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020 Scott A. Springer, D.O. D.A.B.R. Radiology PO Box 697, Commack, NY 11725 March 6, 2020 IME Services, Inc. 1 Brush Hill Road, Suite 205 New Fairfield, CT 06812 Claimant: Jose Fernandez DOB: 1965 Claim Number: 1030761-3 IME Number: AMTI-2020-471 Date of Accident: 6/15/2018 To Whom ItMay Concern: At your request, a right knee MRI examination performed on Jose Fernandez was reviewed. The examination was performed at Dynamic Medical Imaging, PC on 7/19/2018. This is one month and four days following the incident of 6/15/2018. RIGHT KNEE - MRI A rightknee MRI exa_mination was submitted for review. Sagittal, axial, and coronal images were provided. Multiple pulse sequences were obtained. There is no fracture or dislocation. The distal quadriceps and patellar tendons are intact. The anterior cruciate and posterior cruciate ligaments are intact. The medial collateral ligament and lateralcollateral ligament complexes are intact. There is no bone marrow edema. The anterior horns, bodies and posterior horns of the medial and lateral menisci are intact. There is no soft tissue swelling. The surrounding musculature is intact. There is no popliteal cyst. IMPRESSIONS: > No fracture, dislocation or internal derañgement of the knee. > No posttraumatic changes causally related to the 6/15/2018 incident. I,Scott A. Springer, D.O., D.A.B.R., being a doctor duly licensed to practice medicine in the State of New York, pursuant to Civil Practice Law and Rules section 2106, hereby declare under penalties of perjury, that the information contained within this document was prepared and is the work product of the undersigned and is true. Sincerely, Scott A. Springer, D.O., D.A.B.R. License #208737 \qic FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018 NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020 Scott A. Springer, D.O. D.A.B.R. Radiology PO Box 697, Commack, NY 11725 March 6, 2020 IME Services, Inc. 1 Brush Hill Road, Suite 205 New Fairfield, CT 06812 Claimant: Jose Fernandez DOB: 1965 Claim Number: 1030761-3 IME Number: AMTI-2020-471 Date of Accident: 6/15/2018 To Whom ItMay Concern: At your request, a right ankle MRI examination performed on Jose Fernandez was reviewed. The examination was performed at Dynamic Medical Imaging, PC on 7/19/2018. This is one month and four days following the incident of 6/15/2018. RIGHT ANKLE - MRI A right ankle MRI examination was submitted for review. Sagittal, axial, and coronal images were provided. Multiple pulse sequences were obtained. There is no fracture or dislocation. There is no bone marrow edema. There is no soft tissue swelling. The surrounding musculature is intact. There is an ankle joint effusion, which is a nonspecific transient process that will resolve without sequelae. The subtalar joint is unremarkable. The ankle mortise is unremarkable. The Achilles tendon is intact. The plantar fascia is intact. There is a small spur at theinsertion of the Achilles tendon and origin of the plantar fascia, which is a chronic bony productive change that could not have occurred in the time interval between the incident and the examination. There is mild pes planus, which is not related to trauma. Fluid distends the tendon sheath of the flexor hallucis longus compatible with tendinosis, which is a chronic finding related to repetitive motion that could not have occurred in the time interval between the incident and the examination. There is no tear. The remainder of the flexor and extensor tendons are intact. The peroneal longus and brevis tendons are intact. The ligaments about the ankle including the anterior and posterior tibiofibular ligaments, talofibular ligament, deltoid and spring ligameñts are all intact. The surrounding musculature is intact. FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018 NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020 Claimant: Jose Fernandez DOB: 1965 Page 2 of 2 e IMPRESSIONS: > Ankle joint effusion. Small spur at the insertion of the Achilles tendon and origin of the plantar fascia. Mild pes planus. Tendinosis, flexor hallucis longus. No fracture, dislocation or effusion. No posttraüreatic changes causally related to the 6/15/2018 incident I,Scott A. Springer, D.O., D.A.B.R., being a doctor duly licensed to practice medicine in the State of New York, pursuant to Civil Practice Law and Rules section 2106, hereby declare under penalties of perjury, that the information contained within thisdocument was prepared and is the work product of the undersigned and is true. Sincerely, Scott A. Springer, D.O., D.A.B.R. License #208737 \qic FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018 NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020 Scott A. Springer, D.O. D.A.B.R. Radiology PO Box 697, Commack, NY 11725 March 6, 2020 IME Services, Inc. 1 Brush Hill Road, Suite 205 New Fairfield, CT 06812 Claimant: Jose Fernandez DOB: 965 Claim Number: 1030761-3 IME Number: AMTI-2020-471 Date of Accident: 6/15/2018 To Whom ItMay Concern: At your request, a lumbar spine MRI examination performed on Jose Fernandez was reviewed. The examination was performed at Stand Up MRI of Brooklyn on 12/21/2018. This is six months and six days following the incident of 6/15/2018. LUMBAR SPINE - MRI A lumbar spine MRI examination was reviewed. Sagittal and axial images were provided. Multiple pulse sequences were obtained. This is compared with the lumbar spine MRI examination of 7/27/2018. There is straightening of the normal lumbar lordosis, which is likely positional and related to the patient's comfort level during the examin ation. There is no fracture, subluxation or paravertebral softtissue swelling. The vertebral bodies maintain normal height and signal. There is a probable hemangioma in the T12, L2, L3 and L4 vertebral bodies, which is a non-traumatic finding. The intervertebral discs maintain normal heights and signals. L1-L2 is unremarkable. L2-L3 demonstrates a mild disc bulge with mild mass effect on the anterior thecal sac. The neuroforamen are patent. L3-L4 demonstrates a mild subligamentous disc bulge without mass effect on the anterior thecal sac. The neuroforamen are patent. L4-L5 demonstrates a mild disc bulge with mild mass effect on the anterior thecal sac. The neuroforamen are patent. L5-S1 demonstrates a mild disc bulge with mild mass effect on the anterior thecal sac. The neuroforamen are patent. Disc bulging has no traumatic basis. Itis degcñcrative in origin, related to ligamentous laxity and weakening of the outer ligamentous fibers. The conus medullaris terminates at approximately T12-L1. The cauda equina is unremarkable. The paraspinal musculature is intact. The above findings were previously seen on the lumbar spine MRI of 7/27/2018. FILED: KINGS COUNTY CLERK 06/12/2020 03:11 PM INDEX NO. 519845/2018 NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 06/12/2020 Claimant: Jose Fernandez DOB: l965 Page 2 of 2 IMPRESSIONS: u1 Straightening of the normal lumbar lordosis. Probable hemar.gic=a in the T12, L2, L3 and L4 vertebral bodies. Disc bulges, L2-L3, L3-L4, L4-L5 and L5-S1. clb > No fracture, subluxation or disc herniation. No posttraumatic charages causally related to the 6/15/2018 incident. cm I,Scott A. Springer, D.O., D.A.B.R., being a doctor duly licensed to practice medicine in the State of New York, pursuant to Civil Practice Law and Rules section 2106, hereby declare under penalties of perjury, that the information contained within this document was prepared and is the work product of the undersigned and is true. Sincerely, Scott A. Springer, D.O., D.A.B.R. License #208737 /qic