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Wolhart JOEL C. MONKE ATTORNEY AT LAW 7650 CURRELL BOULEVARD SUITE 315 WOODBURY,MINNESOTA 55125 TELEPHONE (651)735-8657 •FAX(651)735-0449 FiEC��'�`�� December 13, 2012 pFC 17 20�2 , -�� . C�'� - City Clerk City of Saint Paul 310 City Hall 15 West Kellogg$oulevard Saint Paul, MN 55102 Re: Kirk E. Wolhart Date o�njurv: 07/18/2012 Greetings: Please find enclosed herewith a Claim Form, submitted in accordance with MN Statute §466.05. I represent Mr. Kirk E. Wolhart in connection with a claim he intents to make against the City of Saint Paul for injuries he suffered while being placed under arrest by St. Paul police officers on July 18, 2012. Mr. Wolhart has described in the enclosed form the manner by which he was injured. I am also enclosing for your review partial medical records concerning the surgery Mr. Wolhart was required to undergo subsequent to the injury described in his Claim Form. Please conta.ct me at your earliest convenience to discuss this matter. Very truly yours, _._,_ Joel C. Monke JCM/ce Enclosures -�.__ NOTICE OF CLAIM FORM to the City of Saint Paul, Minnesota Minnesota State Statute 466.OS states that "...every person...who claims damoges frvm any municipality...shall cause to be presented to the governing body of the municipality within 180 days after the alleged loss or injury is discovered a notice stating the time,place,and circumstances thereof,and the amount of compensation or other relief demanded." Please complete this form in its entirety by clearly typing or printing your answer to each question. If more space is needed,attach additional sheets. Please note that you will no�t be contacted by telephone to clarify answers,so provide as much information as necessary to explain your claim,and the amount of com.pensation being requested. You will receive a written acknowledgement once your form is received. The process can take up to ten weeks or longer depending on the nature of your claim. This form must be signed,and both pages completed. If something does not apply,write`N/A'. SEND COMPLETED FORM AND OT�IER DOCUMENTS TO: CITY CLERK, 15 WEST KELLOGG BLVD, 310 CITY HALL, SAINT PAUL, MN 55102 First Name�� Middle Initial�Last Name � � ►'�-' ` ��4��J �a:��..-r-;�8��::��s�,� DEC 1 � 2012 Are You an Insurance Company? Yes�If Yes, Claim Number? r';�:�� `��' Street Address �� ]�w-� �� ' ��_ � City � �� State w✓✓ Zip Code Daytime Phone b( S1 )`�(�_-�Cell Phone�),�-��Evening Telephone(_) - Date of Accident/Injury or Date Discovered�..�d �$ �u (� Time �: �U am/� Please state,in detail,what occurred(happened), and why you are submitting a claim.Please indicate why or how you feel the City of Saint Paul or its emplo ees are involved and/or responsible for your damages. �" I y Ig �?o��- ^► c.9 1,�..e_. l�a--� �... G�' N� � -� � d— - s S '� .- -fi' S ti.9 •Lo l4�.-.:Q -d� � G�.s ...� ,� , Q--�.� v a o��G�'t. � p,., / Q�.�j,� lease c eck the es)tha mo�le y r�esent the reason for�ompleting his orm: � ❑ My vehicle was damaged in an accident ❑ My vehicle was damaged during a tow ❑ My vehicle was damaged by a pothole or condition of the street ❑ My vehicle was damaged by a plow ^u My vehicle wa� �nongfuily towed and,'or ticketed ;i�'I was injured on City prope��ty - ❑ Other type of property damage-please specify �Other type of injury-please specify��i/� � /f'L'�S In order to process your claim you need to include copies of all applicable documents. For the claims types listed below,please be sure to include the documents indicated or it will delay the handling of your claim. Documents WILL NOT be returned and become the property of the City. You are encouraged to keep a copy for yourself before submitting your claim form. O Property damage claims to a vehicle: two estimates for the repairs to your vehicle if the damage exceeds $500.00; or the actual bills and/or receipts for the repairs O Towing claims: legible copies of any ticket issued and a copy of the impound lot receipt O Other property damage claims: two repair estima.tes if the damage exceeds $500.00; or the actual bills and/or receipts for the repairs; detaileci list of dama.ged items Q Injury claims: medical bills,receipts �Photographs are always welcome to document and support your claim but will not be returned. Page 1 of 2-Please complete and return both pages of Claim Form Failure to complete and return both pages will result in delay in the handling of your claim. All Claims-please comnlete this section , Were there witnesses to the incident? Yes N Unlrnown (circle) Provide their n es, addresses and telepho numbers: ,�� ,��'�v��Y � c�� Were the police or law enforcement called? Yes No Unknown (circle) If ycs,what dcparhnent or agency?� Case#or rerort# Where did the accident or injury take place? Provide street address, cross street, intersection,name of park or facility, closest landmark, tc. Please be as detailed as possible. If necessary, attach a diagram. � �� n-�--� ---o Please indicate the amount you are seeking in compensation or what you would like the City to do to resolve this claim to your satisfaction.7'b �.A- �-�Mc,4 wr �,�'�-e.9 (1�--1 1h,e..B.v�nrw- , 'y'�.,? �✓�� vehi�le Claims -please eompl�te thissectiun �- L7 check box if this section does not apply Your Vehicle: Year Make Model License Plate Number State Color Registered Owner Driver of Vehicle Area Damaged City Vehicle: Year Make Model License Plate Number State Color Driver of Vehicle(City Employee's Name) Area Damaged In'u -Claims- lease com lete this section ❑ check box if this section does not a 1 How were you injured? ' .n �..� ,tiv n is,, � �5' { .i�- at art(s) of your bo were injure . [5 Sc. .� � Have you s medical treatment? No Planning to Seek Treatment(circle) When did you receive treatment? � (provide date(s)) Name of Medical Provider(s): a� Address .� elephone 1�r�_ ��j�� Did you miss work as a result of your injury? es No � When did you miss work?�� _ p� �� Gi.�-� ��provide date(s)) Name ot yo mployer: _ -- ��— � _ - - _-- Address / _��_ Telephone ❑ Check here if you are attaching more pages to this claim form. Number of additional pages By signing this form,you are stating that all information you have provided is true and correct to the best of your knowledge. Unsigned forms will not be processed. Submitting a false claim can result in prosecution. Date form was completed � `�-� 1`i� �`.�, Print the Name of the Person who Completed this Form: ��Y K� � � ��,�p.r'� Signature of Person Making the Claim: �� /// i''�'��%� / Revised February 2011 • Page 1 of 2 ��r�� He�lthPartners� �� Kirk E Wolhart ��t�� MRN:50237913 Today's Visit HP Specialty Center 401 NeuroSurgery with Robert A Morgan, MD on 8/13/2012. Vitai Signs Today BP Weight 132/81 297 Ib (134.718 kg) To-Do List Visit Instructionsilnformation Neurosurgery/Spine Clinic Patient Instructions Surgery will be done from the front of your neck . � - Please start on Vit D over the counter 2 000 IU daily this will increase your abiliry to make bone and fuse at the surgery site You are scheduled for surgery with Dr Morgan at Regions Hospital on 8-16-12 at 7 am Please arrive at the 3rd floor surgery center at 5 30 am Nothing to eat or drink after midnight Please review the washing instructions. Follow up with Dr Morgan after surgery dates and time wili be on your discharge papers If tests were ordered, they will be reviewed at your next office visit. Please altow 10-14 days for forms to be completed and 2-3 business days for medication refills. If you have a change in your insurance plans, please notify the clinic so we can update our records. lf we have incorrect insurance information, it can cause delays in clinic appointments and surgeries. Because we are a Level 1 Trauma Center and employ exceptional surgical staff, occasionally our surgeons must respond to hospital emergencies. This may delay the clinic or cause us to reschedule appointments. We make every attempt to limit these disruptions to you and ask for your understanding. Please call the Neurosurgery/Spine Clinic at 651-254-3490 option#3 with any further questions or concems. Medications Instructions Please let us know if any of the medications or instructions below are incorrect or missing. If you are unsure, please contact the provider who prescribed them. For refills, please contact your pharmacy. Current Medications as of Today ACTOS 45 MG tablet (Taking) TAKE 1 TABLET BY MOUTH ONCE DAILY aspirin 81 MG tablet (Taking) Take 81 mg by mouth daily. ATENoIoI(AKA TENORMIN)25 MG TAKE 1 TAB BY MOUTH DAILY. tablet (Taking) blood glucose VI(VOCAL POINT BLOOD Use as directed. Pharmacy dispense brand based on insurance. GLUCOSE TEST)strip (Taking) celecaxib(AKA CELEBREX) 100 MG Take 1 Cap by mouth two times a day as needed for Pain. Wolhart, Kirk E (MR# 50237913) Printed by [20348] at 8/13/12 12:01 PM Page 2 of 2 capsule (Taking) citalopram (AKA CELEXA)40 MG Take 1 Tab by mouth daily. tablet (Taking) glipiZlDE XL(AKA GLUCOTROL XL) 10 Take 2 Tabs by mouth two times a day. MG 24 hou�release tablet (Taking) insulin glargine(AKA LANTUS) 100 Inject subcutaneously every evening. UNIT/ML injection (Taking) insulin syringe-needle 30G X 112 inch 0.5 Administer with insulin daily as instructed mL 30G X 1/2"0.5 ML (Taking) JANUViA 100 MG tablet (Taking) TAKE 1 TABLET BY MOUTH ONCE DAtLY LIPITOR 80 MG tablet (Taking) TAKE 1 TABLET BY MOUTH EVERY DAY lisinopril (AKA ZESTRIL)5 MG TAKE 1 TAB BY MOUTH DAILY. tablet (Taking) metFORMIN (AKA GLUCOPHAGE)850 TAKE 1 TABLET BY MOUTH THREE TIMES A DAY. MG tablet (Taking) methocarbamol(AKA ROBAXIN)750 MG Take 1-2 Tabs by mouth three times a day as needed. tablet (Takingj mupirocin (AKA BACTROBAN) 2% Apply 0.5 Inches topically two times a day. ointment (Taking) Omega-3 Fatty Acids (FISH OIL daily. OR) (Taking) omeprazole(AKA PRILOSEC)20 MG TAKE 1 CAP BY MOUTH DAILY 30 MINUTES BEFORE MEAL. capsule (Taking) oxyCODONE-acetaminophen (AKA Take 1-2 Tabs by mouth every 8 hours as needed for Pain. Not PERCOCET) 5-325 MG tablet (Taking) to take more than 10 in 24 hours. This prescription to last 14 days traZODone(AKA DESYREL)50 MG Take 1 Tab by mouth at bedtime as needed for Sleep. tablet (Taking) Healthcare Contacts Have questions? Call 651-254-3490 Need care after hours or on weekends? Call 612-339-3663 Need to make an appointment? Call 651-254-3490 Prefer to do all of this online? Visit www.healthpartners.com For other helpful phone numbers visit www.health artners.com/clinics Thank you for visiting us today! Wolhart, Kirk E (MR# 50237913) Printed by [20348] at 8/13/12 12:01 PM � • �- ---• - --- • - --r - --- ....,.._.., �, , ., +",Fj�- � vx v Kirk E Woihart Descrip6an: �4�1 year oId male 10/15/201210:35 AM pf�iCe Vtstt Provider: Cotruta,Pauia M �NNRN : 50237915 depa�Ement: Ri Neurolo9Y Dia noseg iweciian nerve neuropathy -Primary 354,1 Diabetic neuropathy 25Q_6Q Cervical yddiculopatl�y,chronic • 723.4 "Notes" Catruta, Pauta M 10/1812012 11:1�AM Sign�d Quick Note; Results dw wi.th pa�i�nt and with Dr Fletche� Paula M Cotru�a, MD CotruEa,Pa�ii M 10t1�/2412 2:57 PM Addendum DIAGNpS�$: � 1. right rrtiedian nee,ropathy/AIN-onset? Af mast recsnt trospitaliza6an at negionS Q�/1g_ 2, status post cervic,al spine surgery 08/1&wiifi Dr.M4rgan. Pr�evious procsdt,tre Zp11 yy�t}, Dr. Mctver fpr I�ft cervicai radiculapathy 3. diabetic neuropafhy 4 CTR bilaterally, left ufnar nerve transposition -two surgeries last 2010, hisf�ory of a wrist drop on right sideJradial neuropatt�y t�e axiHa 2010 with good r�ecovery INTERVAL HISTQRY: This is a 41 yr old Caucasian gen�leman�hat I saw previously ane time in my clinic M�y, 2011_ At that time he was experiencing nedc pain radiabrtg in left upper extremity. His�MG showed a let�C6-C7 radic�lopat�+y, mild,chronic. He had surgery ur�Dr. Mclver and ini�a�ry got good r�l�ef of symptoms. Then later on-Nov 2017 h�d symptom reccurence and was found tn have neuv disc herniation at C5-G6. Ne tranSfen'�d h�s c�re to Dr AAorg�n 02/2Ul2012-at that tune the left arm pajn yvas the most prorninent symptom April 19. 2012 had surgery with pr. AAorgart wiFh removat of anterior ven�ical instrum�rrta#ion. Corr�p�ain at that time iriduded neck Rain radisting in right shoulder and also in ieft�upper e�ctremity. He te11s me that in Juiy of thi�year had an altert�ti�with polece,was handcuf�ed, question neck injury, symptoms worsen. Subs�equently 0$11612012 h�d surgic�l procedure with pr. Morgan-C2-G3, C3-C4, C4-05 ACQF, C5 corpectamy, C5 prostat�c verte�r�!body, C2�7 anterior instrumentation_ �e�n►�e goin�inta suryery he had normal sirength in both upper e�ctremities but had compl�ints of wadicu�ar pain, neck pain, buming in the finc�ertips bitaterally. Surgery was c:amplieai�ed by aspua#ivn pn�umonia and r�espiratory failure and he was intubated�from 08/16-OB123_ He te�fs`me that vaf�en fte wok�up fiom coma he had swel!€r�g in his right hand and farearm and bruising. He feels he may have been in restraints_ Me noticed tttat his right hsnd was weak an�he specifically showed me that he was not abl��make the pinoer grasp with his thumb and index. Ne aisa reports numbness more in some in d;git one and two on ►'ght than left. . This history is supported by npt�s ttpm difRer�ent providers that he is 5eeing him at f1tis time- Dr. Ardeleanu a9/OS and Or. Morgan's nurse prac�itiorter 09/1 Q They rate weakness is 3!5 for flnger flexion and abduction_ Patient f�els that symptoms are not any dif�erer►t than when he left hospital end August He has buming, paresthesias in all firrgertips , right and left but in addition tc�that right thumb and index are more numb. He compfains of�vreakness. Has neck pain bui no radicular pain Pressure over forearm region resufts in hand paresthesia Physica(examina�ion Weakness of r�grit prona6on 3I�(fhis is very difficutt No ap�pr�ciate dinically as there ars two pronaGar Woll�art,Kirk E{MR#50237913)Prirrted by (221821 at l llbll2 a:52 PM � . -------- -----— .-�-- -� ---- - --, — ...... ._._... _.. . .. � ...,�.,� .,. „ musctes ) APB 3/5 but severe weakness 0/5 in right FPL and FDP to digit iwo. 3-�l5 FDP to digit three. FDS works, i think 3-�4/5 � Trace weakness in finger exbensars and wnst extensars on right side(5-/�) No weakness of wrist flexivn No weakness in the inteross8i ar ftexor digitorum profundus to digit�� Aq other muscla tested in right e�remity and left upper extremity are normal No�mal strength in reght lawer extremiiy(cannot test IefE side foot as he has infection and is wearing a k�ot) Deep tendo� r�flexes-absent in the lawer extremitl�s for knee and ankle, 1f bi�eps,absent brachioradialis Sensat�on : Subjective buming paresthe5iaS in both fingertips. Decreased light touch�rtd pinpri�c in digit I and 11 and atso palm EMG 09l13/2012-is �ad es di2tbetiC neuropathy with ppg�b��rpa,��,,nnel but! do r�ot think addressing the � �-cli^�cal��estionas mos#vveak-r�uscNes AiN�WER�iio#�studied�and also test was not fiterpreted as� proximal median neuropathy despite seyere ab�ormalities in right pmnator teres MRI CERVICAL spine�ct 2012 : IMPRESSI�N: 1. C2�C7 anterior fusion_ Insfi�ument�tan is better visualized Qn CT than MRI. 2. Na fnca!high-grade spina!canal stenosis. The spina!cana)is developmentally nar�t�w. 3. No abnotmal cord signal. 4. Evaau�tiort bf th�neural foramitta is limited due to artifact Moderate left neural foraminal stenosis is �toted at C3-C4. IMPRESSION : Loaks fike a proximal right median neurapathy,A1N innervated muscles are severeiy ai�ected but aiso seems that PT was abnormal p� EMG and Ginically Onset-durir�g hnspitalizatian at regions 48/13-�$J28 . Most iikely oQmpression from pasture(was comatose for a week) , question medical restraints. Patients that riave diabetic neuropathy are mor�s prone to compress;ve neuropathies. In fact this patient had a radial gutse he h�d the�xiHS wt�ile uvearing crutches in�010 from whi�h he made gvod reoovery He does not have median neuropa�y at the wrist. PLAN : . . 1)I h�ve discuss�d with him repeating at least in pa�t the EMG and IoQking mare in detail at praximat median inneNated muscles PT/FCR�nd at AIN innervated musc�s. Dependi�g an findings-we can consider imaging the arm and forearm looking for struciural lesion as would be a hematoma or lyony spur lligamentous structures. Will also help with prognosis to see there is any evidence of reinnervafion . If a structu�al lesion is fi�und Ehen nenre exploratia�we will make sense. If no sfructural lesion is faund on irnaging than is reasonablQ Co attribute to this ta compr�ession ancf managed oonservativeiy. . It is also ve�important to excfude a braehial plexap�ylCB-T1 radiculopathy 1 had e-mailed Dr. Fletcher and I urou� discu�s test resuits with him 2)ther�is significant change in the sensory nerve active potential in both upper e�rernities frorn study dane 062019 when they were recordable with mild ab�ormalities to being absenf on 12/27/2091 ar►d 0911 3/20 1 2 which sugg�st fast progression of diabetic neuropathy Nevertfieless,diabetic neurapat�y is not responsible di�ectly c�ver the�ight median proximal neuropathy. It is imp�rarive that he gets his d"t�betes under cantrol-Hb1c is 11 in last yea�. Decision abaut imaginglf�,rther care a#�er EMG tQmorrow Patie�t underst�and reason for extending festing. Wolhart, Kirk E(I4'IR# 50237923)Printed bv(22182�at 11/6/12�:5�PM .. _'---•....� ...,....��. �� ..��.. .....�.... .��j�.....�. ..��.....�� ai i v L U�V > Vl V Totai 40 Min spent , out ot which about 30mnutes s�nt reviewing previous results, reviewing�hart,a�d 000rdinabng care. All patient's quesUons answered. 1 had reviewed EhRGs-from 2010 to now Notes from neurosu�gery, hospitai nates, notes from providers that seen him ai�er discharge EMG 1�/16-proxim�t medjan ne�ropat#�y severe T�Iked with Dr Fletcher, Dr AAorgan aware M�chanism-comp�es�on vyhile lying corr�ato.c,e most filcley, wiil neeci exclude a surgiealty addresable lesion , will image meqia��eNe in arm and fprearm with MRI I asked HNPP test as in the past he had u(rmr neurripathy at elbow(Ieft)and radial neura�athy at axitfa t tight�when wearing Sxuut�hes . Previdus Version Prc�ecfure Notes . . . . Cotruta,Paula M 1011812�12 9:51 AN1 Signed Gansult Nc�tes No notes faund. besppsitian Routint� Historv Recorded Print P�ti�ent instru�tians Print No �stalts for this vi5it Allergies as of 1�l1512012 bate Revieu�ed• 9/24t2012 Nvted Type ..�_._ Re�c�i�n� Codefne 6/14l20p4 Vomiting [30j Hydroxyzine HCI 3/91/2003 Nausea[22] �bu-200{Nsaids) 7/17/20U9 Nausea [22] Naproxen 6/1dl2003 Vicqdin (HydroCOdone Bitdrrtraat4) . 'f01912Q1.1 . Intctlerance Castrointestina!(900� � Pt reported V�tarll(Hydroxyzines) 7119120Q9 Nausea[22] ou�pati�nt tl�eds:Start of Visit 70/95l20�2 Start End acetarniROphen(AKA TYLENOL EXTRA STR�NG'fW)500 8127/2Q12 MG ta�l Sig-Route: Take 2 Tabs by rrwuth every 6 hours as needed. -t3rai Number of times this onder has bee,n char�ged since si�ning: 3 �rd�r Audit Trail ACTOS d5 MG tablet 7/15/2012 Sig: TAKE 1 TABLET BY MQUTH ONC� pA1LY Class: �-Prescribing Gomment: Needs repeat A1 G Number of times thi5 ofd�r has bee�CharlgetE S€nCe ��r�^^y: � Wolhart.Kirk E fMR# 502379131 printect�v l ZZI 82)at i iJb/12 4:52 PM � �� .��s# �� . ? Riverside Neurology ` 2224 Riverside Avenue Soutfi �� Minneapalis MN 55454 ., � ; . Ctinic Phorte: 612-341-15a0 . Appointinent Center. 9�2-967-76'f6 ACTIVIT'Y PLAA1!W�RK ABILITY • � •.� Patient Name: Kirk E Wolha►t Date of Birth: 11/23/1970 � D9agnosis: Severe right median neuropathy . .__ _ __. ... . Diabetic��enropathy' �- - .. . . __ . . Onset date of this condition: August 2412 - To wham it may concem : k Mr Kirk E Wolhart was seen irt Neurology Clinic 1p/15/2Q92 for right upper e�ctremity � =�-:��.�: weakness and numbness _ His ex�m and EMG show a right proximal median neuropathy This was reported by patient to deveiop after being hospitalized at Regions Hospit�l $116-8128. He had been in cama laltet�ed mental status far significant part of that� • - hospitalization ( 1 we+ek ) The mechanism�ort injury is unclear-suspect compression or stretch injury during period of cvma laltered menta! status . � � Imaging of inedian nerv� in arm and fofe2rm was suggest�ti to evafuate for entrapment � . or s�ru�t � I lesion an et not been completed. � ., � :� � Pa la M Cotrt�t�; - -- . ._. . ..._. . _. .__. _. . �. �. �.. . 111612012� ; � This foim hes bea►c1cc�Eca11Y ei�ned BY Paula M Comrt�,laID , ' ... .... f . � Please g"nre a copy of this f�xm 10 ya.tr ernplayer if ap�icable. . � . ::� . } �olhart, Kirk E (MR# 50237913) DOB: 11/23/1970 Page 1 of 9 Results MR ELBOW W/O CONT RT[IMG3142j(Order#158581776) �esult Date and Time 11/15/2012 4:42 PM Status� Final resuit PACS images Show images for M� ELBOW W/O CONT RT Follow Up LETTER Reading Physician JOHNSON, ADAM C[46177] Study Result REGIONS HOSPITAL 1. MRI RIGHT ELSOW WITHOUT CONTRAST 2. MRI RIGHT FOREARM WITHOUT CONTRAST INDICATION: Right median neuropathy TECHNIQUE: Routine. COMPARISON: MRI humerus from 10/25/2012 FINDINGS: There is marked T2 hyperintensity and slight enlargement of the median nerve from the visualized mid humeral diaphysis extending to the level of the elbow into the forearm. This signal abnormality extends the length of the fvrearm to the carpal tunnel (series 12 imaaes 9 through 12, series 14 images 3 through 30) . There is prominent fascicular pattern of the median nerve throughout its visualized course. There is T2 hyperintensity and atrophy of the flexor digitorum profundus and superficialis muscles within the forearm along with the pronator quadratus. Pronator teres muscle also demonstrates T2 hyperintensity. Evaluation of the MRI of the humerus demonstrates a sirailar T2 hyperintensity and enlargement of the right median nerve ex�ending from the level of the glencid through the proximal humerus seen on series 5 image 27 of that study. � There is medial dislocation of the ulnar nerve from the cubital tunnel (series 4 image 26, series 5 image 30, series 6 image 30} . There is irr.egularity of the surrounding soft tissue planes and apparent disruption of the ligament of Osborne. Finding may represent postoperative changes of ulnar nerve translocation. Clinical correlation suggested. There is increased T2 signal and enlargement of the ulnar nerve involving a segment which extends from the medial humeral epicondyles to the level of the ulnar trochlea. No NIRI findings to suggest abnormal soft tissue masses within the visualized distal upper arm and forearm. No MRI findings of abnormal stress reaction or fracture within visualized distal humerus or radius and ulna. No significant elbow joint effusion. CONCLUSION: l. Marked T2 hyperintensity, enlargement, �nd prominent fascicular pattern of the median nerve from the level of the bony glenoid extending distally to the carpal tunnel. Given the extent of the abnormality and MRI appearance, findings favor an inflammatory neuropathy such as CIDP. Differential includes neural injury in this patient who is status post Wolhart, Kirk E (MR# 5023�913)Printed by ( 5160) at 11/16/12 9:24 AM � � lhart,Kirk E(MR# 50237913) DOB: 11/23/1970 Page 2 of 9 unspecified injury. Unfortunately, contrast was not administered secondary to difficulty with the examination. Post contrast images could be obtained of the median nerve within the forearm to eJaluate for subtle perineural enhancement, as would be seen with CIDP. 2. Marked denervation changes in a median nerve distribution involving the pronator teres, pronator quadratus, and flexor digitorum muscles within the forearm. 3. Medial dislocation of the ulnar nerve with focal T2 hyperintensity and enlargement. �'indinqs may represent the sequela of prior ulnar nerve translocation. Clinical correlation is suggested IF YOII ARE A PHYSICIAN AND HAVE QUESTIONS REGARDING THIS REPORT, PLEASE CALL 651.796.5110. Detailed Exam Report MR ELBOW W/O CONT RT(Order#158581776) on 11/15/2012- Detailed Exam Report Information Patient ID 50237913 RQI#: 157380857 Result Report for Printinq MyChart Status Inactive This result is currently not released to MyChart. Results MR ElBOW W/O CONT RT[IMG3142](Order#158581776) Patient Info�mation �ati�•r�t �1?��e Sex C�O� (Age) Wolhart, Kirk E (50237913) Male 11/23l1970(41 yr) Patient Demographics �:_�dres� Contaci N��rr.bers APT 206 651-202-3723(Home Phone) 190 W LARPENTEUR Ave 000-000-0000(Work Phone) SAINT PAUL MN 55113 651-2Q0-7800(Mobile) Patient I D 50237913 Order Information Date and Time �epartment 10/30I2012 11:02 AM Ri Neurology Ordering User Authorizing Prouider Xiong, Mia K(602185) Cotruta, Paula M, MD(28508) Atter�ding Pr�vider(s} PCP Morgan, Robert A, MD (35678j Ardeleanu, Ovidiu G, MD (18288) Provider Paqer info Priority Class Routine HP/RH Questions (incl Decision Support where applicable) `�ues�;c�r� �;I�S1f:fPr G�mment Appointment urgency? WHEN SCNEDULE PERMITS _ Wolhart, Kirk E (MR# 50237913) Printed by ( 5160)at 11/16/12 9:24 AM