MedLens / Case Queue / UR-2024-0847

UR-2024-0847 — Lumbar MRI preview

Synthetic case · no real patient data · workflow demo only
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This page renders synthetic data to preview the reviewer three-column layout. Real case detail pages land in Phase 6 once tenant API-key session management is scoped. No PHI is served from this route.
Patient intakestub
Demographics
Claimant<sample>
Age band40–49
JurisdictionNew York
Date of injury<sample>
Requested treatment
ProcedureMRI lumbar spine w/o contrast
CPT72148
Requested by<sample> · orthopedic
Clinical context

Sample summary: persistent lumbar radiculopathy with failed conservative management (PT × 6 weeks, NSAIDs). Exam findings include positive straight-leg raise. No red-flag features noted.

AI-drafted determinationDraft
Model confidence
High · 0.89
Three relevant guideline passages retrieved; all indicate MRI appropriate after 6-week conservative trial.
Draft recommendation
Certify
Under NY 12 NYCRR §324.2 Mid & Low Back Injury Guidelines §3.4
Patient meets imaging criteria: 6+ weeks failed conservative management, objective neurologic findings on exam, no absolute contraindications. NY MTG §3.4 supports MRI at this stage when surgical consultation is being contemplated.
Criteria checklist
6+ week conservative trial Objective exam findings No red flags Prior imaging reviewed Surgical consult planned
Grounding sources3 retrieved
NY 12 NYCRR §324.2 — Mid & Low Back §3.4 Imaging · cosine 0.91
"MRI is indicated when 6 weeks of conservative treatment has not resolved symptoms and surgical consultation is under consideration…"
NY 12 NYCRR §324.2 — Mid & Low Back §4.1 Diagnostic studies · cosine 0.84
"Objective neurologic deficit supports advanced imaging when conservative measures have been exhausted…"
Federal WC Imaging Guidance Section II-B · cosine 0.78
"Positive straight-leg raise in the presence of failed conservative management is a recognized indication for MRI."