Patient presents with concerns regarding bone health and potential osteopenia.  The patient reports no specific acute symptoms such as bone pain or fractures but expresses anxiety about future fracture risk.  Past medical history includes [insert relevant PMH, e.g., early menopause, family history of osteoporosis, history of glucocorticoid use, hyperthyroidism, malabsorption syndromes].  Medications include [list current medications].  Physical examination is unremarkable with no localized tenderness or signs of previous fractures.  Dual-energy X-ray absorptiometry (DXA) scan performed on [date] revealed a T-score of [insert T-score value between -1.0 and -2.5] at the [specify site: lumbar spine, femoral neck, total hip], consistent with a diagnosis of osteopenia, unspecified.  Assessment includes low bone density, increased risk of osteoporosis, and potential for future fragility fractures.  Differential diagnoses considered included osteoporosis and secondary causes of bone loss.  The diagnosis of osteopenia was established based on the DXA scan results and clinical presentation.  The patient was educated on lifestyle modifications including weight-bearing exercise, adequate calcium and vitamin D intake, and fall prevention strategies.  Discussion regarding pharmacologic interventions such as bisphosphonates was deferred at this time due to the current T-score and the patient's preference to initially focus on lifestyle changes.  A follow-up DXA scan is scheduled in [timeframe, e.g., 12-24 months] to monitor bone density and assess response to interventions.  Patient education materials on osteopenia prevention and management were provided.  The patient verbalized understanding of the diagnosis, treatment plan, and importance of follow-up.