[
  {
    "event_date": "2024-02-01",
    "summary": "The 03/12/2024 progress note records a reported lifting incident at work on 02/01/2024 [3]. The chief complaint was low back pain radiating to the left leg after that incident [3].",
    "citations": [
      {
        "page": 3,
        "quote": "Chief Complaint: Low back pain radiating to left leg after lifting\nincident at work on 02/01/2024."
      }
    ]
  },
  {
    "event_date": "2024-03-12",
    "summary": "At the 03/12/2024 visit, the patient reported persistent lumbar pain rated 7/10, worse with prolonged standing, and denied prior back injury [3]. Lumbar spine MRI was ordered, and the plan was to continue NSAIDs [3]. Modified duty was directed with no lifting over 10 pounds [3].",
    "citations": [
      {
        "page": 3,
        "quote": "Plan: MRI lumbar spine ordered. Continue NSAIDs. Modified duty,\nno lifting over 10 pounds."
      }
    ]
  },
  {
    "event_date": "2024-03-28",
    "summary": "MRI of the lumbar spine without contrast documented a clinical history of low back pain with left lower extremity radiculopathy. [4] Findings included an L4-L5 disc protrusion contacting the left L5 nerve root and mild degenerative disc disease at L5-S1. [4] The impression was left paracentral disc protrusion at L4-L5 and mild lumbar spondylosis. [4]",
    "citations": [
      {
        "page": 4,
        "quote": "Exam: MRI LUMBAR SPINE WITHOUT CONTRAST Date: 03/28/2024\nPatient: TESTCASE, ALEX\nClinical history: Low back pain with left lower extremity radiculopathy.\nFindings: L4-L5 disc protrusion contacting the left L5 nerve root."
      }
    ]
  },
  {
    "event_date": "2024-05-06",
    "summary": "R. Nguyen, M.D., performed a LEFT L4-L5 transforaminal epidural steroid injection on 05/06/2024 [5]. The documented indication was L4-L5 disc protrusion with left L5 radiculopathy and failed conservative management [5]. The patient tolerated the procedure well without complications, and post-procedure pain decreased from 7/10 to 3/10 [5].",
    "citations": [
      {
        "page": 5,
        "quote": "Procedure: LEFT L4-L5 TRANSFORAMINAL EPIDURAL STEROID INJECTION\nDate: 05/06/2024\nPatient: TESTCASE, ALEX\nIndication: L4-L5 disc protrusion with left L5 radiculopathy,\nfailed conservative management."
      },
      {
        "page": 6,
        "quote": "Interval history: Reports approximately 50% relief following the\nMay 6, 2024 epidural steroid injection."
      }
    ]
  },
  {
    "event_date": "2024-06-10",
    "summary": "The June 10, 2024 progress note documents follow-up after an epidural injection [2]. The note reports inability to walk more than two blocks before pain, difficulty sleeping with nighttime waking, and driving limited to 20 minutes [2]. Dressing is performed without difficulty, and modified duty continues with no lifting over 10 pounds [2].",
    "citations": [
      {
        "page": 2,
        "quote": "June 10, 2024: follow-up after epidural injection.\nHe is unable to walk more than two blocks before the pain."
      }
    ]
  },
  {
    "event_date": "2024-06-10",
    "summary": "At the June 10, 2024 follow-up, the patient reported approximately 50% relief following the May 6, 2024 epidural steroid injection, with pain now 4/10. [6] Modified duty was continued, with re-evaluation in 6 weeks. [6]",
    "citations": [
      {
        "page": 6,
        "quote": "Interval history: Reports approximately 50% relief following the\nMay 6, 2024 epidural steroid injection. Pain now 4/10.\nWork status: Continued modified duty. Re-evaluate in 6 weeks."
      }
    ]
  },
  {
    "event_date": null,
    "summary": "Correspondence from Law Offices of North Shore Defense asks whether medical findings are consistent with a February 1, 2024 lifting incident [1]. It also asks whether a referenced March 28, 2024 MRI supports left L5 contact and whether the records document prior lumbar injury; these are questions posed by the correspondence, not independent clinical findings [1].",
    "citations": [
      {
        "page": 1,
        "quote": "1. Are the medical findings consistent with the February 1, 2024 lifting incident?\n2. Please comment on whether the March 28, 2024 MRI supports left L5 contact."
      }
    ]
  }
]