1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 WESTERN DIVISION

11 12 Case No. 2:25-cv-00233-BFM

BRITTA E.,1

13 MEMORANDUM OPINION Plaintiff, AND ORDER 14 v.

15 FRANK BISIGNANO, Commissioner of Social Security,2 16 Defendant. 17

18 19 This case is before the Court for review of the decision of the 20 Administrative Law Judge denying Plaintiff’s applications for Social Security 21 benefits. For the reasons discussed below, Plaintiff’s request for remand (ECF 22 11) is granted and the decision of the Commissioner is reversed. 23 24 25 1 In the interest of privacy, this Report and Recommendation uses only the first name and middle and last initials of the non-governmental party in this 26 case.

27 2 Frank Bisignano became the Commissioner of Social Security in May 2025 and is substituted as Defendant here pursuant to Rule 25(d) of the Federal 28 Rules of Civil Procedure. 1 I. PROCEDURAL HISTORY 2 In February 2020, Plaintiff applied for disability insurance benefits under 3 Title II of the Social Security Act. (Administrative Record (“AR”) 411-12.) 4 Plaintiff alleged a disability onset date of August 1, 2014. (AR 411.) 5 Plaintiff’s application was denied at the initial level of review and on 6 reconsideration, after which Plaintiff requested a hearing before an 7 Administrative Law Judge. (AR 112-138.) Following a hearing (AR 88-111), the 8 ALJ issued an unfavorable decision finding that Plaintiff was not disabled. (AR 9 139-57.) On review, the Appeals Council vacated the ALJ’s order and remanded 10 the case to the ALJ. (AR 158-63.) 11 The ALJ held an additional hearing on July 16, 2024 (AR 69-87) and 12 issued a second unfavorable decision (AR 31-44). The ALJ found at Step Two of 13 the disability analysis3 that Plaintiff had the severe impairment of lumbar 14 degenerative disc disease. (AR 37.) The ALJ deemed other impairments, 15 including Plaintiff’s bilateral temporomandibular joint syndrome, obesity, and 16 thoracic and lumbar spine dysfunction, to be nonsevere. (AR 37.) 17 At Step Three, the ALJ concluded that Plaintiff’s conditions do not meet 18 or medically equal the severity of any impairment contained in the regulation’s 19 Listing of Impairments—impairments that the Social Security Administration 20 has deemed so severe as to preclude all substantial gainful activity and require 21 a grant of disability benefits. (AR 38); see 20 C.F.R. pt. 404, subpt. P, app. 1. 22 Because Plaintiff’s impairments were not severe enough to require an 23 outright grant of benefits at Step Three, the ALJ proceeded to consider at Step 24 Four whether Plaintiff’s residual functional capacity—defined as what Plaintiff 25 26 3 A five-step evaluation process governs whether a plaintiff is disabled. 20 27 C.F.R. §§ 404.1520(a)-(g)(1), 416.920(a)-(g)(1). The ALJ, properly, conducted the full five-step analysis, but only the steps relevant to the issue raised in the 28 Complaint are discussed here. 1 can do despite her limitations—is such that she would be able to work. (AR 39- 2 43.) The ALJ found that Plaintiff could perform light work with certain 3 limitations: frequent climbing of ladders, ropes, and scaffolds and frequent 4 stooping. (AR 39.) The ALJ found that her residual functional capacity would 5 allow Plaintiff to perform light, unskilled jobs that existed in significant 6 numbers in the national economy. (AR 43.) The ALJ thus found Plaintiff was 7 not disabled and denied her claim. (AR 44.) The Appeals Council denied review 8 of the ALJ’s decision. (AR 4-20.) 9 Dissatisfied with the Social Security Administration’s resolution of her 10 claim, Plaintiff filed a Complaint seeking review in this Court. (ECF 1.) For the 11 reasons set forth below, the Court reverses the Commissioner’s decision. 12 III. STANDARD OF REVIEW 13 Under 42 U.S.C. § 405(g), the Court reviews the Commissioner’s decision 14 to deny benefits to determine if: (1) the Commissioner’s findings are supported 15 by substantial evidence; and (2) the Commissioner used correct legal standards. 16 See Carmickle v. Comm’r Soc. Sec. Admin., 533 F.3d 1155, 1159 (9th Cir. 2008); 17 Brewes v. Comm’r Soc. Sec. Admin., 682 F.3d 1157, 1161 (9th Cir. 2012). 18 “Substantial evidence . . . is ‘more than a mere scintilla.’ It means—and means 19 only—‘such relevant evidence as a reasonable mind might accept as adequate to 20 support a conclusion.’” Biestek v. Berryhill, 587 U.S. 97, 103 (2019) (citations 21 omitted); Gutierrez v. Comm’r of Soc. Sec., 740 F.3d 519, 522-23 (9th Cir. 2014). 22 To determine whether substantial evidence supports a finding, the reviewing 23 court “must review the administrative record as a whole, weighing both the 24 evidence that supports and the evidence that detracts from the Commissioner’s 25 conclusion.” Reddick v. Chater, 157 F.3d 715, 720 (9th Cir. 1998). 26 27 28 1 IV. DISCUSSION 2 Plaintiff argues that the ALJ failed to present a clear and convincing 3 reason to dismiss Plaintiff’s testimony. (ECF 11 (Pl. Brief) at 4-15.4) The Court 4 agrees that the ALJ’s decision should be reversed and this matter remanded 5 because the ALJ erred in his consideration of Plaintiff’s subjective symptom 6 testimony. 7 A. Legal Framework 8 Where a claimant testifies about subjective medical symptoms, an ALJ 9 must evaluate such testimony in two steps. First, the ALJ must determine 10 whether the claimant has presented objective medical evidence of an underlying 11 impairment that could “reasonably be expected to produce the pain or other 12 symptoms alleged.” Lingenfelter v. Astrue, 504 F.3d 1028, 1036 (9th Cir. 2007) 13 (citation and quotation marks omitted). 14 Second, if the claimant meets that first standard and there is no evidence 15 of malingering, the ALJ can reject the claimant’s testimony only by offering 16 “specific, clear and convincing reasons for doing so.” Id. (citation and internal 17 quotation marks omitted). An ALJ “is not required to believe every allegation of 18 disabling pain, or else disability benefits would be available for the asking, a 19 result plainly contrary to the Social Security Act.” Smartt v. Kijakazi, 53 F.4th 20 489, 499 (9th Cir. 2022) (citation and internal quotation marks omitted). At the 21 same time, when an ALJ rejects a claimant’s testimony, he must “specify which 22 testimony [he] finds not credible, and then provide clear and convincing reasons, 23 supported by evidence in the record,” to support that determination. Brown- 24 Hunter v. Colvin, 806 F.3d 487, 488-89 (9th Cir. 2015). General or implicit 25 findings of credibility will not suffice; the ALJ must show his work. Smartt, 53 26 27

28 4 For ease of reference, the Court refers to ECF-generated page numbers. 1 F.4th at 499; see also Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 2 1102 (9th Cir. 2014). 3 Judged by that standard, the ALJ’s reasons and explanation for 4 discounting Plaintiff’s testimony about her lumbar disc disease symptoms were 5 insufficient. 6 B. Plaintiff’s Testimony 7 Plaintiff testified about her impairments and the impact they had on her 8 daily life. (AR 75-77.) She said that she had to leave her prior job, and could not 9 reliably work, because she experienced lumbar pain that limited her ability to 10 sit, stand, and walk. (AR 75-77.) 11 Plaintiff described a typical day: she began by walking approximately 30 12 to 40 feet to use the bathroom and brush her teeth. (AR 75-76.) The pain she 13 experienced from those brief tasks caused her to spend the rest of the day in 14 bed. (AR 76.) Plaintiff’s partner did the grocery shopping, helped her bathe, 15 washed her hair, cleaned, prepared meals, and did other daily chores. (AR 76.) 16 Plaintiff said that she had problems standing or walking back in 2019 (i.e., 17 before the date last insured). (AR 76.) Plaintiff testified that she could stand or 18 walk for approximately 15 to 30 minutes on a flat surface. (AR 76-77.) One of 19 her caretakers gave her an assistive device, but she only used it a few times, to 20 get up, and did not use it for mobility as using it caused her more pain. (AR 77.) 21 C. The ALJ’s Decision 22 The ALJ summarized Plaintiff’s testimony and agreed that Plaintiff’s 23 impairments “could reasonably be expected to cause the alleged symptoms.” (AR 24 39.) The ALJ concluded, however, that Plaintiff’s statements concerning the 25 intensity, persistence, and limiting effects of these symptoms were “not entirely 26 consistent with the medical evidence and other evidence in the record for the 27 reasons explained in this decision.” (AR 39.) 28 1 The ALJ then summarized Plaintiff’s treatment history: Plaintiff had had 2 back surgery in 2011; underwent a physical therapy evaluation in 2014 and 3 sought care for worsening back pain in 2015. (AR 40.) An examination conducted 4 around that time reflected spasm and severe pain with range of motion. (AR 40 5 (citing AR 1350).) 6 Plaintiff was referred for physical therapy in July 2018, and was 7 recertified in September 2018 and January 2019. (AR 40.) In November 2018, a 8 physical examination reflected reduced range of motion and positive straight leg 9 raise test. (AR 40.) An MRI taken that same month showed severe L4 and L5 10 degenerative disc disease. (AR 40.) Plaintiff was counseled on different 11 treatment options, including surgical fusion. (AR 40.) She decided against 12 surgery. (AR 40, citing AR 685 (December 2018 report noting that “[t]reatment 13 options were discussed including surgical fusion. However at this time the 14 patient wants to try a conservative approach for now before considering her 15 surgical intervention.”); AR 691-692 (December 2018 discussion regarding 16 surgery, noting, in light of the risks involved, that Plaintiff wanted to proceed 17 with facet blocks first).) Plaintiff received steroid injections in April 2019 (AR 18 40.) A May 2019 MRI again showed evidence of multilevel degenerative changes. 19 (AR 40.) A straight leg raise test was positive at a June 2019 acupuncture visit 20 (AR 40.) 21 Plaintiff received additional steroid injections in June and September 22 2019. (AR 40.) Her lumbar spine was tender at a July 2019 visit (ECF 40) and 23 she received bilateral medial branch blocks in November 2019. (AR 40.) A 24 straight raise leg test in June 2020 was, again, positive. (AR 40.) 25 After reciting this history, the ALJ concluded that Plaintiff’s spine 26 disorder “limits her to less than a full range of light work” but that no limitation 27 beyond those contained in his residual functional capacity assessment was 28 warranted. (AR 40.) He then listed several facts that, in his view, supported his 1 conclusion: he noted that Plaintiff had been dismissed from physical therapy in 2 2015 after failing to pursue it (AR 40 (citing AR 1472).) While a 2019 3 examination revealed marked lumbar tenderness, Plaintiff still had a stable 4 gait, full sensation, and negative straight leg raise test. (AR 40 (citing AR 682).) 5 When counseled on the option of spinal fusion surgery, she declined to pursue 6 that option and instead received injections. (AR 40 (citing AR 981.) Physical 7 examinations both before and after the date last insured “consistently revealed 8 normal gait and station, full motor strength, and full coordination.” (AR 40.) She 9 was generally in no distress, and the examinations revealed no deficits in 10 sensation or reflexes. (AR 40.) And finally, the records did not reflect the need 11 for or use of an assistance device. (AR 40.) 12 D. Analysis 13 The ALJ’s reasons for discounting Plaintiff’s testimony generally fit into 14 two categories: (1) her conservative treatment; and (2) medical evidence that, in 15 the ALJ’s view, undermined Plaintiff’s testimony. (AR 40.) 16 1. Conservative Treatment 17 First, the ALJ noted that, while Plaintiff was counseled on surgical 18 options, “her treatment was no more invasive than injections.” (AR 40.) An ALJ 19 may consider a claimant’s course of treatment in evaluating a claimant’s 20 subjective complaints. See Parra v. Astrue, 481 F.3d 742, 750-51 (9th Cir. 2007) 21 (finding evidence of conservative treatment sufficient to discount claimant’s 22 testimony regarding severity of impairment); see also 20 C.F.R. § 23 404.1529(c)(3)(iv), (v) (medication effectiveness and treatment history are 24 relevant factors for evaluating a claimant’s symptom testimony). 25 The ALJ erred in suggesting that Plaintiff received only conservative 26 treatment. In addition to physical therapy and strong narcotic medication, 27 Plaintiff received steroid and medial block injections. (AR 1039 (October 2019 28 lumbar injection); AR 1561 (November 2019 branch block injection report 1 indicating Plaintiff reported “0% reduction of pain” post-procedure); AR 1569 2 (April 2019 injection report, noting Plaintiff “reported pre-op pain 8/10 and 0/10 3 pain post procedure.”).) 4 Such treatment is not considered conservative. Revels v. Berryhill, 874 5 F.3d 648, 667 (9th Cir. 2017) (rejecting ALJ’s characterization of facet, epidural, 6 and steroid injections as “conservative”); Garrison v. Colvin, 759 F.3d 995, 1015 7 (9th Cir. 2014) (“[W]e doubt that epidural steroid shots to the neck and lower 8 back qualify as ‘conservative’ medical treatment.”) Grant v. Bisignano, No. 2:24- 9 CV-04033-SK, 2025 WL 2673630, at *2 (C.D. Cal. Aug. 11, 2025) (“[T]he use of 10 narcotic medication alongside epidural steroid injections, trigger point 11 injections, and nerve block injections—as plaintiff endured here—is not 12 considered conservative treatment.”) (internal citations omitted); Christie v. 13 Astrue, No. CV 10-3448-PJW, 2011 WL 4368189, at *4 (C.D. Cal. Sept. 16, 2011) 14 (finding that though narcotic pain medication and steroid injections “may not 15 be the most aggressive [treatment options] available [for degenerative disc 16 disease], like surgery, for example, they are certainly not what the Court would 17 categorize as conservative.”). Indeed, Plaintiff’s doctors did not consider the 18 injections to be conservative. The doctor performing a branch block injection 19 noted that Plaintiff had “already been treated conservatively without lasting 20 results,” and that “a medial branch block [injection] would give both diagnostic 21 and therapeutic benefits.” (AR 1561 (emphasis added).) 22 The authority Defendant cites to show that Plaintiff’s treatment was 23 conservative is not persuasive (Def. Br. at 4), because those cases presented 24 distinguishable facts: Plaintiff here had mixed results from multiple injections 25 and medication with only partial relief, and was recommended more aggressive 26 treatment like branch block injections (and surgery, though ultimately she 27 deemed that option too risky). Those were not the facts of the cases cited by 28 Defendant. Cf. Chavez v. Colvin, No. EDCV 14-1547-JPR, 2015 WL 5923537, at 1 *5 (C.D. Cal. Oct. 9, 2015) (finding treatment was “conservative” where there 2 was no recommendation of surgery and Plaintiff “responded well” to injections); 3 Dianna K. v. Saul, No. 5:18-CV-02216-JDE, 2019 WL 13037009, at *4 (C.D. Cal. 4 Aug. 19, 2019) (“Plaintiff received [one] injection to her right hip in September 5 2015, but a single or occasional steroid injection may be considered conservative 6 treatment.”). In any event, the cases Defendant cites are not binding, and on 7 these facts, the Court concludes that Revels and Garrison point to a different 8 result. 9 To the extent the ALJ believed that Plaintiff’s treatment was conservative 10 because she declined a more aggressive surgical option, that would also be 11 incorrect. (AR 40 (citing AR 685).) Plaintiff’s doctor mentioned the possibility of 12 surgery, but after hearing the significant risks involved, Plaintiff was hesitant 13 to proceed and wanted to try injections first. (AR 692, 805-06.) Her doctor 14 indicated that that was a “reasonable” choice. (AR 692.) The Court will not hold 15 against Plaintiff the medically reasonable choice not to pursue an option that, 16 in her view, was riskier than it was worth. 17 In sum, the ALJ erred in discounting Plaintiff’s testimony based upon 18 Plaintiff’s conservative treatment. 19 2. Medical Evidence 20 The ALJ also pointed to several data points suggesting he viewed 21 Plaintiff’s testimony as not fully consistent with the medical evidence in the 22 record. (AR 40.) These reasons does not provide substantial evidence for his 23 conclusion, however, for several reasons. 24 As an initial matter, the ALJ’s explanation on this point does not meet the 25 standard set by the Ninth Circuit: An ALJ is required to “identify the testimony 26 she or he finds not to be credible and must explain what evidence undermines 27 the testimony.” Holohan v. Massanari, 246 F.3d 1195, 1208 (9th Cir. 2001) 28 (emphasis added). Here, however, the ALJ merely summarized the medical 1 records, concluded the medical record did not support an RFC more limited than 2 the one he assessed, and provided a few data points. He did not “identify the 3 testimony [he] found not credible [and] did not link that testimony to the 4 particular parts of the record supporting [his] non-credibility determination.” 5 Brown-Hunter v. Colvin, 806 F.3d 487, 494 (9th Cir. 2015). His failure to do so 6 was error. Id. 7 Even overlooking that fault, the ALJ’s decision still lacks the support of 8 substantial evidence. First, while the ALJ cited dozens of exhibits reflecting the 9 fact that Plaintiff did not use an assistive device (AR 40), Plaintiff herself 10 testified that she did not use an assistive device because it did more harm than 11 good (AR 77); medical records to that effect therefore do not undermine her 12 testimony. 13 The ALJ also cited a single instance of negative straight leg raise, in 14 January 2019, but the record is replete with instances where the straight leg 15 raise test was positive. (AR 825, 1228, 1392, 1415, 1566.) Indeed, the ALJ 16 himself pointed to more positive straight leg tests than negative ones in his 17 summary of the medical record. (AR 40-41.) An ALJ is not permitted to cherry 18 pick those records which support his conclusion and ignore other similar records 19 that undermine his conclusion. Holohan v. Massanari, 246 F.3d 1195, 1207-08 20 (9th Cir. 2001) (finding that an ALJ erred in selectively relying on some entries 21 in a plaintiff’s records while ignoring others). And because a positive straight 22 leg raise test is indicative of back pain, Garibay-Canela v. Astrue, No. CV 09- 23 4332 AJW, 2010 WL 4703857, at *3 n.3 (C.D. Cal. Nov. 8, 2010), the many 24 positive straight leg tests in the record support, and do not undermine, 25 Plaintiff’s testimony. 26 The ALJ further stated that Plaintiff’s examinations, both before and 27 after her date last insured, generally reflected normal gait and station, and full 28 sensation. (AR 40.) But it is unclear what portion of Plaintiff’s testimony those 1 findings undermine. Plaintiff testified that her back pain prevented her from 2 being on her feet for more than 15-30 minutes. (AR 76-77.) A normal gait “is not 3 a measure of the length of time one can walk and stand”; it measures whether 4 one’s gait is normal as “observed for a few minutes within the confines of an 5 examining room.” Rosemary M. H. v. Comm’r of Soc. Sec., No. C22-5993-BAT, 6 2023 WL 6307249, at *2 (W.D. Wash. Sept. 28, 2023). As such, “[n]ormal gait 7 findings do not necessarily contradict sedentary limitations or Plaintiff’s ability 8 to walk.” Mary C. v. Comm’r of Soc. Sec., No. C24-5070-SKV, 2024 WL 4404109, 9 at *3 (W.D. Wash. Oct. 4, 2024). 10 The same goes for normal station and sensation and lack of distress. 11 Station is a neurological test (e.g., AR 812, 957), which tests neurological causes 12 of balance issues. See 908400 station test, Stedmans Medical Dictionary (station 13 test synonymous with Romberg sign); 820310 Romberg sign, Stedmans Medical 14 Dictionary (a neurological test determining steadiness and revealing potential 15 proprioception loss). Sensation refers to the ability to perceive different kinds of 16 touch. Harris v. Comm’r of Soc. Sec., No. 1:22-CV-01099-CEH, 2023 WL 17 4685370, at *4 (N.D. Ohio July 21, 2023) (describing sensory examination as 18 testing things like perception of hot and cold, vibration, pinpricks, etc.). It is not 19 obvious to the Court what connection those tests have to the credibility of 20 Plaintiff’s testimony about the severity of her back pain, and the ALJ does not 21 explain the logical connection. Scott v. Astrue, 647 F.3d 734, 740 (7th Cir. 2011) 22 (faulting ALJ for “fail[ing] to build the requisite ‘logical bridge’ between the 23 evidence and her conclusion”); see also Tessa B. v. Saul, No. 20 C 93, 2020 WL 24 6487189, at *2 (N.D. Ill. Nov. 4, 2020) (normal sensation and strength not clearly 25 inconsistent with record indicating limitations in plaintiff’s ability to walk for 26 more than 20 minutes at a time). 27 As for the ALJ’s note that Plaintiff’s examinations did not reflect 28 “distress,” many of the records in fact report no acute distress. (See, e.g., AR 40 1 (citing AR 682 (“no acute distress”), 812 (“NAD”), 956 (“NAD”), 1021 (“no acute 2 distress”), 1055 (“no acute distress”), 1446 (“no acute distress”).) Courts have 3 doubted the probative value of that description: “To physicians, ‘No Acute 4 Distress’ means that your patient will probably not become unstable in the next 5 5 minutes.” Wanserski v. Colvin, No. 1:14-CV-1033-DKL-JMS, 2015 WL 6 5692521, at *7 (S.D. Ind. Sept. 28, 2015). It says little about claims of chronic 7 pain—which, by definition, is not “acute” in nature. Nowak v. Saul, No. 20-CV- 8 1088-SCD, 2021 WL 1263753, at *10 (E.D. Wis. Apr. 6, 2021) (collecting cases). 9 Stepping back from the individual tests cited by the ALJ, a bigger 10 question is why the ALJ viewed tests about balance, sensation, and gait as more 11 probative than the records the ALJ himself noted—and the many more than 12 exist in the record—which reflect spasms, tenderness pain with motion, pain on 13 palpation, etc. (E.g., AR 682, 1188, 1350.) Plaintiff’s MRI reflected significant 14 deficiencies, and a specialist viewed her condition as serious to recommend 15 surgery. Had the ALJ provided a reason for crediting the results that he did, 16 and had that reason been such that “a reasonable mind might accept as 17 adequate to support a conclusion.’” Biestek, 587 U.S. at 103, this Court would 18 have to credit it. Without such an explanation, however, the Court is left to 19 wonder why the ALJ reached the conclusion he did. 20 Defendant says that Plaintiff’s argument amounts to a bid to reweigh 21 conflicting evidence, and that weighing evidence is the ALJ’s province. (Def. Br. 22 at 7.) It certainly is the ALJ’s job to weigh conflicting evidence, and if the ALJ 23 had discharged his obligation to explain why, for example, he viewed the normal 24 gait and station tests as undermining Plaintiff’s testimony, the result here may 25 have been different. As it is, the Court is left with a string of data points from 26 the record, many of which do not intuitively undermine Plaintiff’s testimony. If 27 the ALJ saw something in them that the Court does not, it was incumbent on 28 him to provide a brief explanation of why they undermined Plaintiff’s testimony. 1 || Without that, the Court cannot find that the ALJ’s reasons are supported by 2 || substantial evidence. 3 4 IV. REMEDY 5 Plaintiff requests the Court remand this case for an immediate award of 6 || benefits or, alternatively, for further proceedings. (Pl. Brief at 15.) Remand (as 7 || opposed to an outright grant of benefits) is appropriate as the circumstances of 8 || this case suggest that further administrative proceedings could remedy the 9 || ALJ’s errors. See Dominguez v. Colvin, 808 F.3d 4038, 407 (9th Cir. 2015) 10 |} “Unless the district court concludes that further administrative proceedings 11 |} would serve no useful purpose, it may not remand with a direction to provide 12 || benefits.”); Treichler, 775 F.3d at 1101, n.5 (remand for further administrative 13 || proceedings is the proper remedy “in all but the rarest cases”); Harman v. Apfel, 14 |} 211 F.3d 1172, 1180-81 (9th Cir. 2000) (remand for further proceedings rather 15 || than for the immediate payment of benefits is appropriate where there are 16 || “sufficient unanswered questions in the record”). 17 18 V. CONCLUSION AND ORDER 19 For the reasons above, it is therefore ordered that: (1) Plaintiff's request 20 || for remand (ECF 11) is granted; and (2) the decision of the Commissioner is 21 || reversed and this matter is remanded pursuant to sentence four of 42 U.S.C. 22 || § 405(g) for further administrative for further administrative proceedings 23 || consistent with this Opinion and Order. bs TEN 25. || DATED: December 10, 2025

HON. BRIANNA FULLER MIRCHEFF

UNITED STATES MAGISTRATE JUDGE

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