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United States Court of Appeals,
Fifth Circuit.
No. 93-4976.
Vera HUGHES, Plaintiff-Appellant,
v.
Donna E. SHALALA, Secretary, Health & Human Services, Defendant-
Appellee.
June 28, 1994.
Appeal from the United States District Court for the Eastern
District of Texas.
Before WISDOM, DAVIS, and DUHÉ, Circuit Judges.
PER CURIAM:
Vera Hughes appeals the Secretary's determination denying
Hughes' disability benefits. We remand to allow the ALJ to apply
the correct legal standard to its factual findings.
I.
Vera Hughes applied for disability benefits and supplemental
social security, alleging disability due to obesity, arthritis, and
stomach pain. When the Secretary denied benefits, Hughes requested
a hearing before an ALJ. ALJ Taylor held a hearing in January 1990
and held a supplemental hearing ten months later. When the ALJ
denied her claim, Hughes requested and was denied review with the
Appeals Council. Hughes then filed her appeal with the district
court.
Hughes asserted that her obesity, arthritis and high blood
pressure combined to meet or equal the listing of impairments for
obesity. On cross-motions for summary judgment, the district court
1

found that the Secretary's decision was supported by substantial
evidence and affirmed the denial of benefits.
II.
Hughes argues that the ALJ applied an incorrect standard in
determining whether she met the requirements for disability under
the listing for obesity.1 We must accept the Secretary's denial of
benefits if it is based on substantial evidence. Leidler v.
Sullivan, 885 F.2d 291, 294 (5th Cir.1989). However, where the
Secretary relied on an incorrect legal standard in assessing the
evidence, the denial must be reconsidered. Id.
Under Listing 10.10, Hughes must show both that she meets the
obesity requirement and that she has a history of pain and
limitation of motion in a weight bearing joint associated with
x-ray evidence of arthritis in a weight bearing joint. It is
undisputed that Hughes meets the height and weight requirement for
obesity; she is 5N3O and weighed from 334 pounds to 299 pounds.
However, there is a dispute in the record as to whether x-ray
evidence exists of arthritis in her knee.
The evidence shows that Hughes has a history of pain in her
1Listing 10.10 provides in relevant part:
Obesity Weight equal to or greater than the values
specified in ... Table II for females (100 percent
above desired level) and one of the following:
A. History of pain and limitation of motion in any
weight bearing joint or spine (on physical examination)
associated with x-ray evidence of arthritis in a weight
bearing joint or spine.
20 C.F.R. Part 404, Subpt. P, App. 1.
2

right knee. Her treating physician, Dr. Moore, found evidence of
osteoarthritis and subluxating patella. Dr. Burkes examined Hughes
at the request of the Social Security Department in September 1989.
His report states that the diagnosis of osteoarthritis "has been
supported
by
the
following
laboratory data: x-ray
changes--laboratory records are available for review." The x-rays
showed "minimal narrowing along the lateral compartment" of the
right knee. Dr. Burkes also found a 357 limited range of motion in
both knees and limited motion in both shoulders. However, there
are radiology reports indicating that x-rays of Hughes' right knee
were "normal" with "no bone or joint abnormality."
The ALJ found that Hughes did not have arthritis of a major
weight bearing joint because she did "not have marked limitation of
motion, nor x-ray evidence of significant joint space
narrowing...." (emphasis added). Hughes argues that the ALJ
applied the wrong legal standard if he required her to prove
"marked limitation of motion" and "significant joint space
narrowing."
We agree. The listing requires only that Hughes show
"[h]istory of pain and limitation of motion ... associated with
x-ray evidence of arthritis." There is no requirement that the
pain be severely limiting, that the limitation of motion be marked
or that the x-ray evidence show significant joint space narrowing.
Carnes v. Sullivan, 936 F.2d 1215, 1219 (11th Cir.1991) (no
requirement that claimant prove her restriction of motion is
severely limiting); Pitzer v. Sullivan, 908 F.2d 502, 505 (9th
3

Cir.1990) (no requirement that x-ray show more than minimal
degenerative hypertrophic changes). The listing requires only
limitation of motion and any amount of x-ray evidence of arthritis.
The record shows a dispute over whether there was x-ray
evidence of arthritis. It could be that the ALJ relied on the
radiologists' reports and found no credible x-ray evidence of any
arthritis. But the ALJ's opinion is ambiguous. It may also be
read as denying relief because the limitation of motion was not
marked and x-ray evidence of arthritis was not significant.
Because we are unable to determine if the ALJ used the correct
legal standard, we remand this case to the Secretary for
clarification of her findings in light of this opinion.
Accordingly, the judgment of the district court is vacated and
this case is remanded to the Secretary for further proceedings
consistent with this opinion.
VACATED AND REMANDED.

4

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