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Select View and Side First
Select which type of x-ray you performed and/or read
Unilateral Foot Xray
3 Views LEFT FOOT
3 Views RIGHT FOOT
-------------------------------------------------------------------------------
Bilateral Foot Xray (3 Views)
-------------------------------------------------------------------------------
Unilateral Ankle Xray
3 Views LEFT ANKLE
3 Views RIGHT ANKLE
-------------------------------------------------------------------------------
Bilateral Ankle Xray
-------------------------------------------------------------------------------
XRAY READING
Select Generic X-Ray Findings
Generic Foot or Ankle X-Ray Findings
1) No osseous abnormalities noted
-or- Osseous abnormalities noted
2) No evidence of osteopenia
-or- Osteopenia noted
3) No evidence of fracture or dislocation.
-or- Evidence of fracture.
a) Fracture Appearance
• • •
b) Location ("of the ____")?
4) No evidence of degenerative changes
-or- Evidence of degenerative changes
5) No bunion or hammertoes noted.
6) No biomechanical abnormalities. Angle and base of gait is within normal limits.
-or- Increased or decreased arch noted on study
a) Pronated foot structure noted
b) Supinated foot structure noted
7) Normal parabola noted.
-or- Abnormal parabola with increased 2nd met.
8) No evidence of foreign body.
-or- Evidence of foreign body noted.
Location ("to the ____")?
------------------------------------------------------------------------------
-or- Select Normal Foot and Ankle X-Ray Findings
Normal Foot
Choose One
a) Normal FOOT Xray (NO ABNORMALITIES)
b) Normal FOOT but generalized osteopenia
c) Normal FOOT but pronated foot structure
d) Normal FOOT but supinated foot structure
e) Normal FOOT, with degenerative changes
-------------------------------------------------------------------------------
Normal Ankle
Choose One
a) Normal ANKLE Xray Findings (NO ABNORMALITIES)
b) Normal ANKLE but generalized osteopenia
c) Normal ANKLE but pronated foot structure
d) Normal ANKLE but supinated foot structure
e) Normal ANKLE, with degenerative changes
-------------------------------------------------------------------------------
-or- Select Specific Pathologies
+Bunion left
+Bunion right
+Hallux Limitus Left
+Hallux Limitus Right
+Tailor's Bunion left
+Tailor's Bunion right
+Pronated Left Foot
+Pronated Right Foot
+Cavoid Left Foot
+Cavoid Right Foot
+Left Elevatus
+Right Elevatus
Left Hammertoe
Right Hammertoe
--> Of what left toe joint?
• • •
--> of what right toe joint?
• • •
Left Foot MPJ Contracture
Right Foot MPJ Contracture
--> Of what MPJ?
• • •
--> Of what MPJ?
• • •
Normal Parabola (2nd met length)?
Left Spurring
• • •
Right Spurring
• • •
Helome Molle Left
Helome Molle Right
Retrocalcaneal Exostosis Left
Retrocalcaneal Exostosis Right
Calcaneal Apophysitis Left
Calcaneal Apophysitis Right
Midfoot Arthritis Left
Midfoot Arthritis Right
Add On Descriptions: Pertinent Positives/Negatives
Pertinent Positives
• • •
Pertinent Negatives
• • •
Freeform Xray Findings
Add On Descriptions: X-Ray Angles
Show Angles
IMA Left
IMA Right
HAA Left (0-10)
HAA Right (0-10)
PASA Left (<7.5)
PASA Right (<7.5)
Left Tibial Sesamoid Position
Right Tibial Sesamoid Position
Left First MPJ Joint Position
Right First MPJ Joint Position
Left Calcaneal Inclination Angle (25)
Right Calcaneal Inclination Angle (25)
Left Talar Declination Angle (25)
Right Talar Declination Angle (25)
Add On Descriptions: Post Op Findings
Post Op
Post op L Austin
Post op R Austin
Post op L Lapidus
Post op R Lapidus
Post op L Tailor's Bunionectomy
Post op R Tailor's Bunionectomy
Post op L Weil Osteotomy
Post op R Weil Osteotomy
Post op Hammertoe Repair with Implant
• • •
Post op Arthroplasty with NO Implant
• • •
Post op Left Exostectomy
• • •
Post op Right Exostectomy
• • •
Post op Left Arthrodesis
• • •
Post op Right Arthrodesis
• • •
Abnormal Post Operative
Pertinent Positives/Negatives
Pertinent Positives
• • •
Pertinent Negatives
• • •
Freeform Xray Findings
Add On Descriptions: Fracture Findings
Evidence of Fracture
Fracture #1 (Appearance of fracture)
• • •
"of the ____"?
Fracture #1: If signs of healing, good healing of fracture?
Fracture #2 (Appearance of fracture)
• • •
"of the ____"?
Fracture #2: If healing, good healing of fracture?
Other Fracture Dislocation
Pertinent Positives/Negatives
Pertinent Positives
• • •
Pertinent Negatives
• • •
Freeform Xray Findings

X-Ray Findings Medical Form

Podiatrist

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Published: Aug. 8, 2026, 9:47 p.m.
Provider: Dr. History Physical
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